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1609052422
CHANTELL DEANNA TATE
BRONX, NY
NPI
1609052422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 269212-1)
Enumeration Date
2008-01-10
Last Update Date
2008-03-05
Business Address
-- CHANTELL DEANNA TATE
3643 VARIAN AVE 2ND FLOOR
BRONX, NY 10466-5934
Phone number: 347-275-3547
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Mailing Address
-- CHANTELL DEANNA TATE
3643 VARIAN AVE 2ND FLOOR
BRONX, NY 10466-5934
Phone number: 347-275-3547
Copy
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