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1720624505
LANCIA DEZALON
CORAM, NY
NPI
1720624505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 607818)
Enumeration Date
2019-11-27
Last Update Date
2024-07-18
Business Address
LANCIA DEZALON
3 FREEMONT LN
CORAM, NY 11727-3234
Phone number: 631-538-7295
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Mailing Address
LANCIA DEZALON
3 FREEMONT LN
CORAM, NY 11727-3234
Phone number: 631-346-3872
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