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1730420951
TANEISHA LAVANNA BRISSETT
BROOKLYN, NY
NPI
1730420951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 313520-1)
Enumeration Date
2013-03-13
Last Update Date
2013-03-13
Business Address
-- TANEISHA LAVANNA BRISSETT
2505 TILDEN AVE
BROOKLYN, NY 11226-5015
Phone number: 718-941-4490
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Mailing Address
-- TANEISHA LAVANNA BRISSETT
2505 TILDEN AVE
BROOKLYN, NY 11226-5015
Phone number: 718-941-4490
Copy
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