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1598324501
MARYROSE FRIED
HOLTSVILLE, NY
NPI
1598324501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 154882-1)
Enumeration Date
2019-06-12
Last Update Date
2019-06-12
Business Address
MARYROSE FRIED LPN
6 BLUEBERRY RIDGE DR
HOLTSVILLE, NY 11742-2549
Phone number: 631-650-5246
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Mailing Address
MARYROSE FRIED LPN
6 BLUEBERRY RIDGE DR
HOLTSVILLE, NY 11742-2549
Phone number: 631-650-5246
Copy
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