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1760267751
LYSA M GACCIONE
BAYSIDE, NY
NPI
1760267751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 320475-01)
Enumeration Date
2023-08-28
Last Update Date
2023-08-28
Business Address
LYSA M GACCIONE LPN
21720 43RD AVE
BAYSIDE, NY 11361-3519
Phone number: 347-804-4990
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Mailing Address
LYSA M GACCIONE LPN
21720 43RD AVE
BAYSIDE, NY 11361-3519
Phone number: 347-804-4990
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