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1710390885
SHANICE KELLY
BROOKLYN, NY
NPI
1710390885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 3180261)
Enumeration Date
2014-06-06
Last Update Date
2014-06-06
Business Address
-- SHANICE KELLY lpn
471 VERMONT ST
BROOKLYN, NY 11207-4813
Phone number: 347-636-1169
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Mailing Address
-- SHANICE KELLY lpn
471 VERMONT ST
BROOKLYN, NY 11207-4813
Phone number: 347-636-1169
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