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Individual
MS. JENIENE CHARMAINE LILLY
Active
Individual
MS. JENIENE CHARMAINE LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PRACTICAL N
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
095390-1
NY
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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