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1821357757
KESHIA LATOYA BOODIE
CENTRAL ISLIP, NY
NPI
1821357757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 309656-1)
Enumeration Date
2012-05-13
Last Update Date
2012-05-13
Business Address
-- KESHIA LATOYA BOODIE lpn
1080 FERNDALE BLVD
CENTRAL ISLIP, NY 11722-4226
Phone number: 631-748-2290
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Mailing Address
-- KESHIA LATOYA BOODIE lpn
1080 FERNDALE BLVD
CENTRAL ISLIP, NY 11722-4226
Phone number: 631-748-2290
Copy
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