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1679862114
JACQUELYN DENISE ELLISON
JAMAICA, NY
NPI
1679862114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 16148841)
Enumeration Date
2011-04-05
Last Update Date
2011-04-05
Business Address
Ms. JACQUELYN DENISE ELLISON LPN
14030 173RD ST
JAMAICA, NY 11434-4626
Phone number: 718-481-6536
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Mailing Address
Ms. JACQUELYN DENISE ELLISON LPN
14030 173RD ST
JAMAICA, NY 11434-4626
Phone number: 718-481-6536
Copy
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