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1982183398
NICKETTA BLAIR
LAURELTON, NY
NPI
1982183398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 328397-1)
Enumeration Date
2018-08-08
Last Update Date
2018-08-08
Business Address
NICKETTA BLAIR
23214 MERRICK BLVD
LAURELTON, NY 11413-2115
Phone number: 718-528-4375
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Mailing Address
NICKETTA BLAIR
7944 CEDARBROOK AVE
PHILADELPHIA, PA 19150-1326
Phone number: 267-290-9194
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