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1073277109
LARA JANE GONGOB SARDEA
ELMHURST, NY
NPI
1073277109
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Former Name
LARA JANE JORDAS GONGOB
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 824423)
Enumeration Date
2021-10-25
Last Update Date
2021-10-25
Business Address
LARA JANE GONGOB SARDEA BSN,RN,MSN
5423 83RD ST
ELMHURST, NY 11373-4723
Phone number: 332-234-2256
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Mailing Address
LARA JANE GONGOB SARDEA BSN,RN,MSN
5423 83RD ST
ELMHURST, NY 11373-4723
Phone number:
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