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1548807928
JOANNE TIFFANY RIVERS
CENTRAL ISLIP, NY
NPI
1548807928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 336962-01)
Enumeration Date
2019-12-05
Last Update Date
2019-12-05
Business Address
Ms. JOANNE TIFFANY RIVERS LPN
37 HICKORY ST
CENTRAL ISLIP, NY 11722-4734
Phone number: 631-482-2657
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Mailing Address
Ms. JOANNE TIFFANY RIVERS LPN
37 HICKORY ST
CENTRAL ISLIP, NY 11722-4734
Phone number: 631-482-2657
Copy
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