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1750657227
MYGLIDE ST-VIL
AMITYVILLE, NY
NPI
1750657227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 643716)
Enumeration Date
2012-03-28
Last Update Date
2012-03-28
Business Address
Ms. MYGLIDE ST-VIL RN
373 BROADWAY
AMITYVILLE, NY 11701-2707
Phone number: 631-608-8523
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Mailing Address
Ms. MYGLIDE ST-VIL RN
1175 E 39TH ST
BROOKLYN, NY 11210-4420
Phone number: 347-858-0107
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