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1861019028
TINA NELAN
SOUTHAMPTON, NY
NPI
1861019028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
(Licence: NY D3Y4A2S6)
Enumeration Date
2020-07-02
Last Update Date
2020-07-02
Business Address
Mrs. TINA NELAN CPT
208 MARYS LN
SOUTHAMPTON, NY 11968-5629
Phone number: 631-800-4111
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Mailing Address
Mrs. TINA NELAN CPT
208 MARYS LN
SOUTHAMPTON, NY 11968-5629
Phone number: 631-800-4111
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