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1710113139
STACY MOYSTON
CORONA, NY
NPI
1710113139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 293875)
Enumeration Date
2009-06-01
Last Update Date
2009-06-01
Business Address
-- STACY MOYSTON
5525 98TH PL 1
CORONA, NY 11368-3005
Phone number: 718-760-2434
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Mailing Address
-- STACY MOYSTON
5525 98TH PL 1
CORONA, NY 11368-3005
Phone number: 718-760-2434
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