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1669747069
ANCIL DOMINIC CHARLES
LAURELTON, NY
NPI
1669747069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 247286-1)
Enumeration Date
2012-03-19
Last Update Date
2012-03-19
Business Address
Mr. ANCIL DOMINIC CHARLES LPN
13952 225TH ST
LAURELTON, NY 11413-2741
Phone number: 718-877-5718
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Mailing Address
Mr. ANCIL DOMINIC CHARLES LPN
13952 225TH ST
LAURELTON, NY 11413-2741
Phone number: 718-877-5718
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