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1013414903
MARIE A GERARDINE HERIVAUX
QUEENS VILLAGE, NY
NPI
1013414903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 27938861)
Enumeration Date
2018-04-09
Last Update Date
2018-04-09
Business Address
MARIE A GERARDINE HERIVAUX
10940 214TH ST
QUEENS VILLAGE, NY 11429-1915
Phone number: 347-916-2422
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Mailing Address
MARIE A GERARDINE HERIVAUX
10940 214TH ST
QUEENS VILLAGE, NY 11429-1915
Phone number: 347-916-2422
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