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1548401607
LATISHA A MAXWELL
BUFFALO, NY
NPI
1548401607
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Former Name
LATISHA A REYNOLDS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 280660)
Enumeration Date
2009-03-18
Last Update Date
2012-11-29
Business Address
Mrs. LATISHA A MAXWELL LPN
43 MILITARY RD
BUFFALO, NY 14207-2834
Phone number: 716-563-4486
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Mailing Address
Mrs. LATISHA A MAXWELL LPN
43 MILITARY RD
BUFFALO, NY 14207-2834
Phone number: 716-563-4486
Copy
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