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1720314800
EVELYN TRACEY-ISSAC
JAMAICA, NY
NPI
1720314800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 209745-1)
Enumeration Date
2009-10-26
Last Update Date
2009-10-26
Business Address
-- EVELYN TRACEY-ISSAC
17758 MEADOW RD
JAMAICA, NY 11434-4949
Phone number: 718-506-6942
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Mailing Address
-- EVELYN TRACEY-ISSAC
17758 MEADOW RD
JAMAICA, NY 11434-4949
Phone number:
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