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1801482443
KELLY ANN ROMAN
CORAM, NY
NPI
1801482443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 321003)
Enumeration Date
2020-12-17
Last Update Date
2020-12-17
Business Address
Miss KELLY ANN ROMAN LPN
4 ROYAL DR
CORAM, NY 11727-2250
Phone number: 631-740-7532
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Mailing Address
Miss KELLY ANN ROMAN LPN
4 ROYAL DR
CORAM, NY 11727-2250
Phone number: 631-740-7532
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