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1972739217
DIANE WADE
FREEPORT, NY
NPI
1972739217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 603094)
Enumeration Date
2009-06-01
Last Update Date
2009-06-01
Business Address
-- DIANE WADE
233 BRANCH AVE
FREEPORT, NY 11520-6007
Phone number: 516-377-1557
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Mailing Address
-- DIANE WADE
233 BRANCH AVE
FREEPORT, NY 11520-6007
Phone number: 516-377-1557
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