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1508315151
DEANNA MOON
KINGSTON, NY
NPI
1508315151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 257737-1)
Enumeration Date
2016-09-23
Last Update Date
2016-09-23
Business Address
-- DEANNA MOON
918 ULSTER AVE
KINGSTON, NY 12401-1344
Phone number: 845-339-6683
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Mailing Address
-- DEANNA MOON
1103 DUG HILL RD
WEST HURLEY, NY 12491-5039
Phone number: 845-339-6683
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