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1821650979
ROSS PATRICK TICE
BROOKLYN, NY
NPI
1821650979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251J00000X Nursing Care
(Licence: NY 293795)
Enumeration Date
2019-06-28
Last Update Date
2019-06-28
Business Address
Mr. ROSS PATRICK TICE LPN
1352 DEKALB AVE APT 2
BROOKLYN, NY 11221-3315
Phone number: 347-952-6007
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Mailing Address
Mr. ROSS PATRICK TICE LPN
1352 DEKALB AVE APT 2
BROOKLYN, NY 11221-3315
Phone number: 347-952-6007
Copy
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