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1912331778
MICHELLE ELLIS
FAR ROCKAWAY, NY
NPI
1912331778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 552696)
Enumeration Date
2013-08-29
Last Update Date
2013-08-29
Business Address
-- MICHELLE ELLIS
1152 NEILSON ST APT 1
FAR ROCKAWAY, NY 11691-4735
Phone number: 718-337-6137
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Mailing Address
-- MICHELLE ELLIS
1152 NEILSON ST APT 1
FAR ROCKAWAY, NY 11691-4735
Phone number: 718-337-6137
Copy
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