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1568794006
GARY ANTOINE MITTON
JAMAICA, NY
NPI
1568794006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 273626-1)
Enumeration Date
2010-02-09
Last Update Date
2010-02-09
Business Address
MR. GARY ANTOINE MITTON LPN
16937 144TH RD
JAMAICA, NY 11434-5929
Phone number: 718-978-7221
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Mailing Address
MR. GARY ANTOINE MITTON LPN
16937 144TH RD
JAMAICA, NY 11434-5929
Phone number: 718-978-7221
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