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| Name | CHROMIK MARTHA LOUISE |
|---|---|
| Address | BALLSTON LAKENY |
| Profession | LICENSED PRACTICAL NURSING |
| License No | 096186 |
| Date of Licensure | 04/12/73 |
| Additional Qualification | Not applicable in this profession |
| Status | REGISTERED |
| Registered through last day of | 12/17 |