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1720303894
MARIAMMA DANIEL DIVAKARAN
JAMAICA, NY
NPI
1720303894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 3854406)
Enumeration Date
2010-04-01
Last Update Date
2010-04-01
Business Address
MRS. MARIAMMA DANIEL DIVAKARAN LPN
15011 HILLSIDE AVE
JAMAICA, NY 11432-3319
Phone number: 718-739-5778
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Mailing Address
MRS. MARIAMMA DANIEL DIVAKARAN LPN
508 CHAMBERLIN ST
EAST MEADOW, NY 11554-3809
Phone number: 516-485-3541
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