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1023364114
DIANA KONTSELIDZE
FLUSHING, NY
NPI
1023364114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 654199)
Enumeration Date
2012-07-26
Last Update Date
2012-07-26
Business Address
-- DIANA KONTSELIDZE
19910 32ND AVE APT 3F
FLUSHING, NY 11358-1250
Phone number: 516-761-9439
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Mailing Address
-- DIANA KONTSELIDZE
19910 32ND AVE APT 3F
FLUSHING, NY 11358-1250
Phone number: 516-761-9439
Copy
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