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1912524372
LEATRICE KIICHELLE DYER
NORTHPORT, NY
NPI
1912524372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251J00000X Nursing Care
(Licence: NY 338518)
Enumeration Date
2020-07-01
Last Update Date
2020-07-01
Business Address
LEATRICE KIICHELLE DYER LPN
23 BRITTANY CT
NORTHPORT, NY 11768-3225
Phone number: 631-374-0977
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Mailing Address
LEATRICE KIICHELLE DYER LPN
282 W 15TH ST
DEER PARK, NY 11729-6304
Phone number: 631-374-0974
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