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1528352259
NICOLA DOUGLAS
MOUNT VERNON, NY
NPI
1528352259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 305467-1)
Enumeration Date
2011-05-28
Last Update Date
2011-05-28
Business Address
NICOLA DOUGLAS LPN
194 SUMMIT AVE APT 2
MOUNT VERNON, NY 10550-1565
Phone number: 914-602-6514
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Mailing Address
NICOLA DOUGLAS LPN
194 SUMMIT AVE APT 2
MOUNT VERNON, NY 10550-1565
Phone number: 914-602-6514
Copy
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