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1841517091
TESSA SHANETTE FRASER
JAMAICA, NY
NPI
1841517091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 270596)
Enumeration Date
2010-04-28
Last Update Date
2010-04-28
Business Address
-- TESSA SHANETTE FRASER
8825 163RD ST
JAMAICA, NY 11432-4046
Phone number: 718-739-0045
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Mailing Address
-- TESSA SHANETTE FRASER
8825 163RD ST
JAMAICA, NY 11432-4046
Phone number: 718-739-0045
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