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1902317563
ALEXIS FALLON FELICIO
CORAM, NY
NPI
1902317563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 322241)
Enumeration Date
2017-10-22
Last Update Date
2017-10-22
Business Address
ALEXIS FALLON FELICIO
29 STEVEN PL
CORAM, NY 11727-4500
Phone number: 631-383-0944
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Mailing Address
ALEXIS FALLON FELICIO
29 STEVEN PL
CORAM, NY 11727-4500
Phone number:
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