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1720371164
SHANA LEWIS
CENTRAL ISLIP, NY
NPI
1720371164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 305491)
Enumeration Date
2011-05-18
Last Update Date
2011-12-19
Business Address
-- SHANA LEWIS
81 APPLEGATE DR
CENTRAL ISLIP, NY 11722-1903
Phone number: 631-579-1109
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Mailing Address
-- SHANA LEWIS
81 APPLEGATE DR
CENTRAL ISLIP, NY 11722-1903
Phone number: 631-579-1109
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