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1710310115
THERESA ANNE HOM
BLUE POINT, NY
NPI
1710310115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 654764)
Enumeration Date
2013-08-21
Last Update Date
2013-08-21
Business Address
Mrs. THERESA ANNE HOM RN
263 BLUE POINT AVE
BLUE POINT, NY 11715-1224
Phone number: 631-419-6737
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Mailing Address
Mrs. THERESA ANNE HOM RN
151 BRETTON RD
HAUPPAUGE, NY 11788-4760
Phone number: 631-697-8080
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