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1598102964
SUSANNE WIRTH
LINDENHURST, NY
NPI
1598102964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: NY 469653)
Enumeration Date
2013-05-25
Last Update Date
2013-05-25
Business Address
Mrs. SUSANNE WIRTH
424 N ALLEGHANY AVE
LINDENHURST, NY 11757-3437
Phone number: 631-891-5507
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Mailing Address
Mrs. SUSANNE WIRTH
424 N ALLEGHANY AVE
LINDENHURST, NY 11757-3437
Phone number: 631-891-5507
Copy
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