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1801496310
DYSHONIA LOUISE DENT
MEDFORD, NY
NPI
1801496310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 337160)
Enumeration Date
2020-10-26
Last Update Date
2020-10-26
Business Address
DYSHONIA LOUISE DENT LPN
1102 LAKE DR
MEDFORD, NY 11763-4620
Phone number: 631-295-7109
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Mailing Address
DYSHONIA LOUISE DENT LPN
1102 LAKE DR
MEDFORD, NY 11763-4620
Phone number: 631-295-7109
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