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1750639761
BILLY RAY PARKER
ROOSEVELT, NY
NPI
1750639761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 292261)
Enumeration Date
2012-08-22
Last Update Date
2012-08-22
Business Address
Mr. BILLY RAY PARKER LPN
2 BABYLON TPKE APT 21
ROOSEVELT, NY 11575-2168
Phone number: 516-300-2288
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Mailing Address
Mr. BILLY RAY PARKER LPN
PO BOX 1135
ROOSEVELT, NY 11575-0635
Phone number: 516-300-2288
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