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1629647920
TESHANEE DARA DOUGLAS
NEW YORK, NY
NPI
1629647920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 280133-1)
Enumeration Date
2021-06-21
Last Update Date
2021-06-21
Business Address
Ms. TESHANEE DARA DOUGLAS LPN
121-123 WEST 111TH STREET
NEW YORK, NY 10026
Phone number: 212-678-4990
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Mailing Address
Ms. TESHANEE DARA DOUGLAS LPN
760 E 160TH ST FL 2
BRONX, NY 10456-7898
Phone number: 315-294-4159
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