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1508151739
TANIA GORDON
BRENTWOOD, NY
NPI
1508151739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 301520)
Enumeration Date
2011-06-15
Last Update Date
2011-06-15
Business Address
-- TANIA GORDON
349 BRENTWOOD PKWY
BRENTWOOD, NY 11717-1508
Phone number: 347-806-9438
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Mailing Address
-- TANIA GORDON
349 BRENTWOOD PKWY
BRENTWOOD, NY 11717-1508
Phone number: 347-806-9438
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