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1770750515
MYRTLE GRAY
ROOSEVELT, NY
NPI
1770750515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 02143759)
Enumeration Date
2008-05-12
Last Update Date
2008-05-12
Business Address
MYRTLE GRAY
189 BROOKSIDE AVE
ROOSEVELT, NY 11575-1901
Phone number: 516-546-9019
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Mailing Address
MYRTLE GRAY
189 BROOKSIDE AVE
ROOSEVELT, NY 11575-1901
Phone number: 516-546-9019
Copy
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