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1790350601
DANIEL ROSS
SHIRLEY, NY
NPI
1790350601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 1211788)
Enumeration Date
2021-05-24
Last Update Date
2023-09-11
Business Address
DANIEL ROSS
562 BOXWOOD DR
SHIRLEY, NY 11967-1025
Phone number: 631-871-1507
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Mailing Address
DANIEL ROSS
562 BOXWOOD DR
SHIRLEY, NY 11967-1025
Phone number: 631-871-1507
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