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1821460411
SOLITAIRE BRANCH
ROSEDALE, NY
NPI
1821460411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 323887-1)
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
-- SOLITAIRE BRANCH LPN
14736 253RD ST
ROSEDALE, NY 11422-2800
Phone number: 516-263-9802
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Mailing Address
-- SOLITAIRE BRANCH LPN
14736 253RD ST
ROSEDALE, NY 11422-2800
Phone number: 516-263-9802
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