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Individual

KAYON HAYNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11433 194TH ST, SAINT ALBANS, NY 11412-2741
(914) 473-8914
Mailing address
11433 194TH ST, SAINT ALBANS, NY 11412-2741
(914) 473-8914

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
336087
NY

Other

Enumeration date
11/05/2019
Last updated
11/05/2019
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