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1780867887
LOURDES MARIE BOURSIQUOT
DEER PARK, NY
NPI
1780867887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 256596-1)
Enumeration Date
2007-12-11
Last Update Date
2007-12-11
Business Address
Mrs. LOURDES MARIE BOURSIQUOT LPN
35 COLUMBO DR
DEER PARK, NY 11729-1808
Phone number: 631-242-4488
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Mailing Address
Mrs. LOURDES MARIE BOURSIQUOT LPN
35 COLUMBO DR
DEER PARK, NY 11729-1808
Phone number: 631-242-4488
Copy
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