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1962804054
CHRISTAL KELLY
STATEN ISLAND, NY
NPI
1962804054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 309109)
Enumeration Date
2014-09-19
Last Update Date
2014-09-19
Business Address
-- CHRISTAL KELLY
50 BAY ST
STATEN ISLAND, NY 10301-2511
Phone number: 718-447-7740
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Mailing Address
-- CHRISTAL KELLY
50 BAY ST
STATEN ISLAND, NY 10301-2511
Phone number: 718-447-7740
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