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1992097802
ALEXIS MACK
AMITYVILLE, NY
NPI
1992097802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 293904-1)
Enumeration Date
2011-05-11
Last Update Date
2011-05-11
Business Address
-- ALEXIS MACK LPN
2 CAHILL ST
AMITYVILLE, NY 11701-1858
Phone number: 631-789-8525
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Mailing Address
-- ALEXIS MACK LPN
2 CAHILL ST
AMITYVILLE, NY 11701-1858
Phone number: 631-789-8525
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