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1962000638
TANISHA NICHOLE LATIMORE
AMITYVILLE, NY
NPI
1962000638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 744097-1)
Enumeration Date
2020-10-14
Last Update Date
2020-10-14
Business Address
TANISHA NICHOLE LATIMORE RN
94 MONROE ST
AMITYVILLE, NY 11701-1521
Phone number: 631-671-1118
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Mailing Address
TANISHA NICHOLE LATIMORE RN
94 MONROE ST
AMITYVILLE, NY 11701-1521
Phone number: 631-671-1118
Copy
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