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1790337962
VANISHA TATE
STATEN ISLAND, NY
NPI
1790337962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 274733)
Enumeration Date
2019-07-09
Last Update Date
2019-07-09
Business Address
VANISHA TATE LPN
800 VICTORY BLVD
STATEN ISLAND, NY 10301-3702
Phone number: 718-419-7767
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Mailing Address
VANISHA TATE LPN
800 VICTORY BLVD
STATEN ISLAND, NY 10301-3702
Phone number:
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