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1053700658
DESERE FULLERTON
BROOKLYN, NY
NPI
1053700658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 694924)
Enumeration Date
2015-01-20
Last Update Date
2017-04-25
Business Address
-- DESERE FULLERTON RN
1024 NEW YORK AVENUE 5TH FLOOR
BROOKLYN, NY 11203
Phone number: 845-200-8228
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Mailing Address
-- DESERE FULLERTON RN
1024 NEW YORK AVE 1F
BROOKLYN, NY 11203-3827
Phone number: 845-200-8228
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