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1639589971
TANISHA GANG
TROY, NY
NPI
1639589971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 268246)
Enumeration Date
2014-05-07
Last Update Date
2014-05-09
Business Address
-- TANISHA GANG
356 4TH AVE
TROY, NY 12182-3107
Phone number: 518-590-3844
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Mailing Address
-- TANISHA GANG
356 4TH AVE
TROY, NY 12182-3107
Phone number: 518-590-3844
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