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1659799005
NICOLE BRYAN
AMITYVILLE, NY
NPI
1659799005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 312913)
Enumeration Date
2014-04-02
Last Update Date
2014-04-02
Business Address
-- NICOLE BRYAN
55 GLENMALURE ST
AMITYVILLE, NY 11701-1435
Phone number: 631-671-6358
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Mailing Address
-- NICOLE BRYAN
55 GLENMALURE ST
AMITYVILLE, NY 11701-1435
Phone number:
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