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1871904441
EDTASHA NEW
LOCKPORT, NY
NPI
1871904441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 00605565)
Enumeration Date
2014-05-16
Last Update Date
2014-05-16
Business Address
Miss EDTASHA NEW
120 SOUTH NEW YORK STREET
LOCKPORT, NY 14094
Phone number: 716-579-2086
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Mailing Address
Miss EDTASHA NEW
120 S NEW YORK ST
LOCKPORT, NY 14094-4228
Phone number:
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