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1518408822
LAVERN SOUVENIR
BROOKLYN, NY
NPI
1518408822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 252497-1)
Enumeration Date
2017-03-20
Last Update Date
2017-03-20
Business Address
-- LAVERN SOUVENIR
502 CLEVELAND
BROOKLYN, NY 11208
Phone number: 917-861-6713
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Mailing Address
-- LAVERN SOUVENIR
502 CLEVELAND ST
BROOKLYN, NY 11208-2120
Phone number: 347-432-0142
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