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1700216751
SHERVONE THEOPHILUS
BROOKLYN, NY
NPI
1700216751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: NY 671217)
Enumeration Date
2013-11-12
Last Update Date
2013-11-12
Business Address
-- SHERVONE THEOPHILUS RN
85 BARTLETT ST
BROOKLYN, NY 11206-4429
Phone number: 718-782-1538
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Mailing Address
-- SHERVONE THEOPHILUS RN
33 ROOSEVELT DR APT 319
DERBY, CT 06418-1670
Phone number: 321-439-8426
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