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1083306427
JESSICA OLIVENCIA
NEW YORK, NY
NPI
1083306427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 322942)
Enumeration Date
2023-05-24
Last Update Date
2023-05-24
Business Address
JESSICA OLIVENCIA LPN
635 MADISON AVE FL 1400
NEW YORK, NY 10022-1036
Phone number: 845-857-7706
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Mailing Address
JESSICA OLIVENCIA LPN
3215 35TH ST APT F8
ASTORIA, NY 11106-1145
Phone number: 845-857-7706
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