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1912272907
JAIYIDDAH MALIKAH SMITH
BRONX, NY
NPI
1912272907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 308810-1)
Enumeration Date
2012-03-09
Last Update Date
2012-03-09
Business Address
Miss JAIYIDDAH MALIKAH SMITH LPN
2755 SAMPSON AVE 3A
BRONX, NY 10465-2933
Phone number: 917-520-4912
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Mailing Address
Miss JAIYIDDAH MALIKAH SMITH LPN
2755 SAMPSON AVE 3A
BRONX, NY 10465-2933
Phone number: 917-520-4912
Copy
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