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1578080891
TREVON SOLIVAN
NEW WINDSOR, NY
NPI
1578080891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 327641-1)
Enumeration Date
2017-08-28
Last Update Date
2017-08-28
Business Address
TREVON SOLIVAN
40 CEDAR LANE APT 2
NEW WINDSOR, NY 12553
Phone number: 845-541-3713
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Mailing Address
TREVON SOLIVAN
40 CEDAR LN APT 2
NEW WINDSOR, NY 12553-7513
Phone number:
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