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1528793726
TASHAINA MAUVAIS
CENTRAL ISLIP, NY
NPI
1528793726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 344583)
Enumeration Date
2022-07-21
Last Update Date
2022-07-21
Business Address
TASHAINA MAUVAIS
251 TREE AVE
CENTRAL ISLIP, NY 11722-2743
Phone number: 631-882-1795
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Mailing Address
TASHAINA MAUVAIS
251 TREE AVE
CENTRAL ISLIP, NY 11722-2743
Phone number: 631-882-1795
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