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1881159051
AYESHA I PATABENDI KORALALAGE
STATEN ISLAND, NY
NPI
1881159051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 332594-1)
Enumeration Date
2019-02-01
Last Update Date
2019-02-01
Business Address
AYESHA I PATABENDI KORALALAGE lpn
26 DUMONT AVE
STATEN ISLAND, NY 10305-1450
Phone number: 718-667-8510
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Mailing Address
AYESHA I PATABENDI KORALALAGE lpn
34A GREENTREE LN
STATEN ISLAND, NY 10314-1601
Phone number:
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