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KETTLY ST SURIN, LPN

LPN

Licensed Practical Nurse

NPI: 1922320738Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

215736(NY)

Contact & Hours

Address
22121 JAMAICA AVE
QUEENS VILLAGE, NY 11428

Quick Facts

NPI
1922320738
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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