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1982080065
JESSICA BENEDETTO
DEER PARK, NY
NPI
1982080065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 319470)
Enumeration Date
2015-07-30
Last Update Date
2015-07-30
Business Address
-- JESSICA BENEDETTO
77 BURLINGTON AVE
DEER PARK, NY 11729-2402
Phone number: 631-316-9739
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Mailing Address
-- JESSICA BENEDETTO
77 BURLINGTON AVE
DEER PARK, NY 11729-2402
Phone number: 631-316-9739
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