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1821736653
RENEE VICSAMA
SPRING VALLEY, NY
NPI
1821736653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 343835)
Enumeration Date
2022-05-23
Last Update Date
2022-05-23
Business Address
RENEE VICSAMA
150 W ECKERSON RD
SPRING VALLEY, NY 10977-3527
Phone number: 845-480-9195
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Mailing Address
RENEE VICSAMA
150 W ECKERSON RD
SPRING VALLEY, NY 10977-3527
Phone number:
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