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1518210855
LENORA TAMARA WILKS
BRONX, NY
NPI
1518210855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 294315-1)
Enumeration Date
2012-10-24
Last Update Date
2012-10-24
Business Address
Miss LENORA TAMARA WILKS LPN
3332 FENTON AVE PH
BRONX, NY 10469-2806
Phone number: 646-260-1911
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Mailing Address
Miss LENORA TAMARA WILKS LPN
3332 FENTON AVE PH
BRONX, NY 10469-2806
Phone number: 646-260-1911
Copy
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