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1568768463
KELLY-LEE SAMANTHA SAMUELS
BRONX, NY
NPI
1568768463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 304815)
Enumeration Date
2011-02-10
Last Update Date
2011-02-12
Business Address
-- KELLY-LEE SAMANTHA SAMUELS
140 ASCH LOOP
BRONX, NY 10475-4033
Phone number: 347-595-7519
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Mailing Address
-- KELLY-LEE SAMANTHA SAMUELS
140 ASCH LOOP
BRONX, NY 10475-4033
Phone number: 347-595-7519
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