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1518114347
DEEDEE MARJORIE LATHAM
CORAM, NY
NPI
1518114347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 595223-1)
Enumeration Date
2008-08-22
Last Update Date
2008-08-22
Business Address
DEEDEE MARJORIE LATHAM
23 CALICOTREE LN
CORAM, NY 11727-2602
Phone number: 917-428-2441
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Mailing Address
DEEDEE MARJORIE LATHAM
23 CALICOTREE LN
CORAM, NY 11727-2602
Phone number: 917-428-2441
Copy
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