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1750846267
SHAEDELE RENISE DESAMOURS
NEW YORK, NY
NPI
1750846267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse Addiction (Substance Use Disorder)
(Licence: NY 533487)
Enumeration Date
2019-02-08
Last Update Date
2019-02-08
Business Address
SHAEDELE RENISE DESAMOURS RN
1825 PARK AVE FL 8
NEW YORK, NY 10035-1641
Phone number: 212-774-3282
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Mailing Address
SHAEDELE RENISE DESAMOURS RN
1825 PARK AVE FL 8
NEW YORK, NY 10035-1641
Phone number:
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