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1003227133
GINA STARK
JAMAICA, NY
NPI
1003227133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 467368)
Enumeration Date
2014-05-12
Last Update Date
2014-05-12
Business Address
GINA STARK
11616 141ST ST
JAMAICA, NY 11436-1214
Phone number: 201-463-1471
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Mailing Address
GINA STARK
11616 141ST ST
JAMAICA, NY 11436-1214
Phone number: 201-463-1471
Copy
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