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1780196865
SHATASIA SMITH
BRONX, NY
NPI
1780196865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 326908)
Enumeration Date
2017-10-30
Last Update Date
2017-10-30
Business Address
SHATASIA SMITH Lpn
794 MAGENTA ST
BRONX, NY 10467-6255
Phone number: 347-244-4925
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Mailing Address
SHATASIA SMITH Lpn
794 MAGENTA ST
BRONX, NY 10467-6255
Phone number: 347-244-4925
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