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1912412776
MEDESA SHAVELL GARRETT
SOUTH OZONE PARK, NY
NPI
1912412776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 2849000)
Enumeration Date
2017-12-02
Last Update Date
2017-12-02
Business Address
MEDESA SHAVELL GARRETT LPN
11440 VAN WYCK EXPY
SOUTH OZONE PARK, NY 11420-2229
Phone number: 718-322-3455
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Mailing Address
MEDESA SHAVELL GARRETT LPN
11440 VAN WYCK EXPY
SOUTH OZONE PARK, NY 11420-2229
Phone number: 718-322-3455
Copy
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