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1891984753
IPHANIE JOSEPH
BRENTWOOD, NY
NPI
1891984753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 210108-1)
Enumeration Date
2007-10-17
Last Update Date
2015-10-08
Business Address
-- IPHANIE JOSEPH LPN
1364 ISLIP AVE
BRENTWOOD, NY 11717-6515
Phone number: 631-273-6594
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Mailing Address
-- IPHANIE JOSEPH LPN
223 NOLIN ST
BRENTWOOD, NY 11717-5017
Phone number: 631-273-6594
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