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1982954426
LYSTRA BODU
JAMAICA, NY
NPI
1982954426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 303881)
Enumeration Date
2012-09-12
Last Update Date
2012-09-12
Business Address
-- LYSTRA BODU
8825 163 STREET
JAMAICA, NY 11432
Phone number: 718-739-0045
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Mailing Address
-- LYSTRA BODU
104-14 195 STREET
ST A;BANS, NY 11412
Phone number: 347-446-8656
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