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1578274684
CRYSTAL ELLIS
MOUNT VERNON, NY
NPI
1578274684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 344728)
Enumeration Date
2022-12-09
Last Update Date
2022-12-09
Business Address
Mrs. CRYSTAL ELLIS LPN
11 W PROSPECT AVE
MOUNT VERNON, NY 10550-2017
Phone number: 914-668-8938
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Mailing Address
Mrs. CRYSTAL ELLIS LPN
845 N BROADWAY
WHITE PLAINS, NY 10603-2427
Phone number: 914-761-0600
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