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1922356062
TEENA MARIA GORDON
VALLEY STREAM, NY
NPI
1922356062
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Former Name
TEENA MARIA BARNETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 6209581)
Enumeration Date
2012-08-21
Last Update Date
2012-08-21
Business Address
Mrs. TEENA MARIA GORDON RN
12 FAIRMOUNT ST
VALLEY STREAM, NY 11580-3016
Phone number: 718-679-1620
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Mailing Address
Mrs. TEENA MARIA GORDON RN
12 FAIRMOUNT ST
VALLEY STREAM, NY 11580
Phone number: 718-679-1620
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