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1609203777
MARLIE JEAN
BRENTWOOD, NY
NPI
1609203777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 310850)
Enumeration Date
2013-10-03
Last Update Date
2013-10-03
Business Address
Miss MARLIE JEAN LPN
231 NEWMAN ST
BRENTWOOD, NY 11717
Phone number: 347-786-1704
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Mailing Address
Miss MARLIE JEAN LPN
231 NEWMAN ST
BRENTWOOD, NY 11717-5015
Phone number:
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