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1811349830
THERESA BRISCOE
MEDFORD, NY
NPI
1811349830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 299114-1)
Enumeration Date
2016-07-01
Last Update Date
2016-07-01
Business Address
THERESA BRISCOE
3107 EAGLE AVE
MEDFORD, NY 11763-1749
Phone number: 631-764-5002
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Mailing Address
THERESA BRISCOE
3107 EAGLE AVE
MEDFORD, NY 11763-1749
Phone number: 631-764-5002
Copy
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