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1740579010
LISA HEINTZ
SUFFERN, NY
NPI
1740579010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 421383)
Enumeration Date
2011-04-07
Last Update Date
2011-04-07
Business Address
-- LISA HEINTZ RN
99 WASHINGTON AVE
SUFFERN, NY 10901-6026
Phone number: 845-357-4500
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Mailing Address
-- LISA HEINTZ RN
7 MOSS DR
BREWSTER, NY 10509-4209
Phone number: 845-278-0585
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