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1568655058
GEORGIA MAE HALE
SHIRLEY, NY
NPI
1568655058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 0761181)
Enumeration Date
2007-08-20
Last Update Date
2007-08-20
Business Address
MRS. GEORGIA MAE HALE LPN
304 DECATOR AVE
SHIRLEY, NY 11967
Phone number: 631-399-9274
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Mailing Address
MRS. GEORGIA MAE HALE LPN
35 ANDREA COURT
RIVERHEAD, NY 11901
Phone number: 631-727-7478
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