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1720390826
TONI ANN JATA
LAKE GROVE, NY
NPI
1720390826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 618604)
Enumeration Date
2010-07-06
Last Update Date
2010-07-06
Business Address
Mrs. TONI ANN JATA R.N.
69 BAYARD ST
LAKE GROVE, NY 11755-3150
Phone number: 631-467-3708
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Mailing Address
Mrs. TONI ANN JATA R.N.
69 BAYARD ST
LAKE GROVE, NY 11755-3150
Phone number: 631-467-3708
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