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1912177692
MELBA LANIECE SHINE
BLUE POINT, NY
NPI
1912177692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 602544)
Enumeration Date
2008-03-10
Last Update Date
2016-11-02
Business Address
Ms. MELBA LANIECE SHINE RN
263 BLUE POINT AVE
BLUE POINT, NY 11715-1224
Phone number: 631-419-6737
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Mailing Address
Ms. MELBA LANIECE SHINE RN
19 SILVERPINE DRIVE
AMITYVILLE, NY 11701-2029
Phone number: 631-789-2115
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