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1841749199
SAMANTHA MEZZOLESTA
CORAM, NY
NPI
1841749199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 309939)
Enumeration Date
2016-09-28
Last Update Date
2016-09-28
Business Address
-- SAMANTHA MEZZOLESTA
50 GLENMERE LN
CORAM, NY 11727-1429
Phone number: 631-384-5957
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Mailing Address
-- SAMANTHA MEZZOLESTA
50 GLENMERE LN
CORAM, NY 11727-1429
Phone number: 631-384-5957
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