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1659601763
RIKKI LESLIE BEAVER
SHIRLEY, NY
NPI
1659601763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 293930-1)
Enumeration Date
2010-01-12
Last Update Date
2010-01-12
Business Address
-- RIKKI LESLIE BEAVER LPN
29 AUBORN AVE
SHIRLEY, NY 11967-1741
Phone number: 631-729-6674
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Mailing Address
-- RIKKI LESLIE BEAVER LPN
29 AUBORN AVE
SHIRLEY, NY 11967-1741
Phone number: 631-729-6674
Copy
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