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1669805917
TRACEY KING
MEDFORD, NY
NPI
1669805917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 301073)
Enumeration Date
2013-08-09
Last Update Date
2013-08-09
Business Address
-- TRACEY KING
80 WILSON AVE
MEDFORD, NY 11763-1095
Phone number: 631-320-0535
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Mailing Address
-- TRACEY KING
80 WILSON AVE
MEDFORD, NY 11763-1095
Phone number: 631-320-0535
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