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1669904975
DIANE SHIELDS
BALDWIN, NY
NPI
1669904975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376G00000X Nursing Home Administrator
(Licence: NY 463140)
Enumeration Date
2017-03-28
Last Update Date
2017-03-28
Business Address
Miss DIANE SHIELDS RN
3120 EASTERN PKWY
BALDWIN, NY 11510-4801
Phone number: 646-289-0126
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Mailing Address
Miss DIANE SHIELDS RN
3120 EASTERN PKWY
BALDWIN, NY 11510-4801
Phone number: 646-289-0126
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