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1003229253
MARIAM DIENE
BRONX, NY
NPI
1003229253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 312984)
Enumeration Date
2014-06-05
Last Update Date
2014-06-05
Business Address
-- MARIAM DIENE
506 TINTON AVE APT 20S
BRONX, NY 10455-4582
Phone number: 917-868-6449
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Mailing Address
-- MARIAM DIENE
506 TINTON AVE APT 20S
BRONX, NY 10455-4582
Phone number: 917-868-6449
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