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1750754305
LASTAR KNIGHT
DEER PARK, NY
NPI
1750754305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 324040)
Enumeration Date
2015-11-04
Last Update Date
2015-11-04
Business Address
Ms. LASTAR KNIGHT lpn
73 E 6TH ST
DEER PARK, NY 11729-4311
Phone number: 631-745-1411
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Mailing Address
Ms. LASTAR KNIGHT lpn
73 E 6TH ST
DEER PARK, NY 11729-4311
Phone number: 631-745-1411
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