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Individual
MISS MAUREEN AMIE JEFFERSON
Active
Individual
MISS MAUREEN AMIE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PRACTICAL N
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
244842-1
NY
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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