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1972016681
DIANE PATRICIA BRATHWAITE
SOUTH OZONE PARK, NY
NPI
1972016681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 117682-1)
Enumeration Date
2017-11-16
Last Update Date
2017-11-16
Business Address
Mrs. DIANE PATRICIA BRATHWAITE
11440 VAN WYCK EXPY
SOUTH OZONE PARK, NY 11420-2229
Phone number: 718-322-3455
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Mailing Address
Mrs. DIANE PATRICIA BRATHWAITE
11440 VAN WYCK EXPY
SOUTH OZONE PARK, NY 11420-2229
Phone number: 718-322-3455
Copy
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