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1528730884
MICHELLE MALCOLM
JAMAICA, NY
NPI
1528730884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 341732)
Enumeration Date
2021-10-04
Last Update Date
2021-10-04
Business Address
Ms. MICHELLE MALCOLM LPN
11764 141ST ST
JAMAICA, NY 11436-1229
Phone number: 171-870-8043
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Mailing Address
Ms. MICHELLE MALCOLM LPN
11764 141ST ST
JAMAICA, NY 11436-1229
Phone number: 171-870-8043
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