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1629128095
CHANEL UPSHUR
CAMBRIA HEIGHTS, NY
NPI
1629128095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 286511-14)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
Mr. CHANEL UPSHUR LPN
11736 NASHVILLE BLVD
CAMBRIA HEIGHTS, NY 11411-1537
Phone number: 646-372-0195
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Mailing Address
Mr. CHANEL UPSHUR LPN
11736 NASHVILLE BLVD
CAMBRIA HEIGHTS, NY 11411-1537
Phone number: 646-372-0195
Copy
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