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1003403866
FANTA KABA
BRONX, NY
NPI
1003403866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 793757)
Enumeration Date
2020-12-28
Last Update Date
2020-12-28
Business Address
FANTA KABA RN
100 W KINGSBRIDGE RD
BRONX, NY 10468-3961
Phone number: 718-410-1500
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Mailing Address
FANTA KABA RN
1100 FRANKLIN AVE APT 3A
BRONX, NY 10456-5575
Phone number: 646-377-8166
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