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1831499185
CHRISTINE DESTINA
CENTRAL ISLIP, NY
NPI
1831499185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 301524)
Enumeration Date
2010-11-02
Last Update Date
2010-11-02
Business Address
CHRISTINE DESTINA
393 SMITH ST
CENTRAL ISLIP, NY 11722-3721
Phone number: 631-901-5919
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Mailing Address
CHRISTINE DESTINA
393 SMITH ST
CENTRAL ISLIP, NY 11722-3721
Phone number: 631-901-5919
Copy
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