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1760020549
MARVIN A MORENO
LEVITTOWN, NY
NPI
1760020549
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Professional Name
MARVIN A MORALES
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 336795-01)
Enumeration Date
2019-12-12
Last Update Date
2019-12-12
Business Address
MARVIN A MORENO
15 FLOCK LN
LEVITTOWN, NY 11756-4114
Phone number: 516-458-6677
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Mailing Address
MARVIN A MORENO
15 FLOCK LN
LEVITTOWN, NY 11756-4114
Phone number: 516-458-6677
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