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1710209267
DAVE SMALL
BROOKLYN, NY
NPI
1710209267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 284092)
Enumeration Date
2010-02-25
Last Update Date
2010-02-25
Business Address
-- DAVE SMALL LPN
664 E 77TH ST
BROOKLYN, NY 11236-3316
Phone number: 954-806-1140
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Mailing Address
-- DAVE SMALL LPN
664 E 77TH ST
BROOKLYN, NY 11236-3316
Phone number: 954-806-1140
Copy
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