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1952619512
LYNETTE LEOLA LEEPACK
STONY BROOK, NY
NPI
1952619512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 302648)
Enumeration Date
2010-09-16
Last Update Date
2010-09-16
Business Address
-- LYNETTE LEOLA LEEPACK n.p.
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794-9460
Phone number: 631-638-0693
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Mailing Address
-- LYNETTE LEOLA LEEPACK n.p.
19 BOTANY LN
STONY BROOK, NY 11790-2519
Phone number: 631-721-8065
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