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1952782757
SHANTE GORDON
BRONX, NY
NPI
1952782757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 321924)
Enumeration Date
2015-06-17
Last Update Date
2015-06-17
Business Address
-- SHANTE GORDON LPN
3031 YOUNG AVE
BRONX, NY 10469-5106
Phone number: 347-272-3427
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Mailing Address
-- SHANTE GORDON LPN
3031 YOUNG AVENUE
BRONX, NY 10469
Phone number: 347-272-3427
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