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1750683595
KENDRA TERRELL FOOTMAN
CENTRAL ISLIP, NY
NPI
1750683595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 284107)
Enumeration Date
2010-11-30
Last Update Date
2010-11-30
Business Address
KENDRA TERRELL FOOTMAN LPN
150 BRIER ST
CENTRAL ISLIP, NY 11722-3939
Phone number: 631-960-1978
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Mailing Address
KENDRA TERRELL FOOTMAN LPN
2 SOMERSET RD W
AMITYVILLE, NY 11701-2022
Phone number: 631-960-1978
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