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1730422858
WANDA STATEN
NEW YORK, NY
NPI
1730422858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 198235)
Enumeration Date
2013-03-27
Last Update Date
2013-03-27
Business Address
Miss WANDA STATEN LPN
3420 BROADWAY
NEW YORK, NY 10031-7418
Phone number: 212-781-5500
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Mailing Address
Miss WANDA STATEN LPN
3014 BRUNER AVE
BRONX, NY 10469-3224
Phone number: 917-679-4883
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