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1942468889
ALTHEA MARIE BURGESS
DEER PARK, NY
NPI
1942468889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 204219)
Enumeration Date
2008-05-28
Last Update Date
2008-05-28
Business Address
Mrs. ALTHEA MARIE BURGESS LPN
158 MAIDA AVE
DEER PARK, NY 11729
Phone number: 631-242-0637
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Mailing Address
Mrs. ALTHEA MARIE BURGESS LPN
158 MAIDA AVE
DEER PARK, NY 11729
Phone number: 631-242-0637
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