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ANDERSON LOUISVILLE GUERRIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
141 ASBURY AVE, WESTBURY, NY 11590-2016
(516) 236-4876
Mailing address
141 ASBURY AVE, WESTBURY, NY 11590-2016
(516) 236-4876

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
10 310031
NY

Other

Enumeration date
01/11/2013
Last updated
01/11/2013
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