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1801280979
TARA WHITE
HOLTSVILLE, NY
NPI
1801280979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 318753-1)
Enumeration Date
2015-03-26
Last Update Date
2015-03-27
Business Address
-- TARA WHITE
12 DEERFIELD CT
HOLTSVILLE, NY 11742-1901
Phone number: 631-742-7279
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Mailing Address
-- TARA WHITE
12 DEERFIELD CT
HOLTSVILLE, NY 11742-1901
Phone number: 631-742-7279
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