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1922308428
JENNIFER DIAZ
CENTRAL ISLIP, NY
NPI
1922308428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 303305-1)
Enumeration Date
2010-10-30
Last Update Date
2010-10-30
Business Address
-- JENNIFER DIAZ LPN
393 EVERGREEN AVE
CENTRAL ISLIP, NY 11722-1906
Phone number: 631-355-1960
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Mailing Address
-- JENNIFER DIAZ LPN
393 EVERGREEN AVE
CENTRAL ISLIP, NY 11722-1906
Phone number: 631-355-1960
Copy
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