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1508023904
LALTA PERSAUD - JAIKARAN BEDESSIE
SOUTH OZONE PARK, NY
NPI
1508023904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 251980-1)
Enumeration Date
2008-05-22
Last Update Date
2008-05-22
Business Address
-- LALTA PERSAUD - JAIKARAN BEDESSIE
15047 129TH ST
SOUTH OZONE PARK, NY 11420-4246
Phone number: 347-239-0653
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Mailing Address
-- LALTA PERSAUD - JAIKARAN BEDESSIE
15047 129TH ST
SOUTH OZONE PARK, NY 11420-4246
Phone number:
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