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1104120591
ETIENNA FANORD
BROOKLYN, NY
NPI
1104120591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 302194-1)
Enumeration Date
2010-12-29
Last Update Date
2010-12-29
Business Address
-- ETIENNA FANORD
1809 NOSTRAND AVE STE 2
BROOKLYN, NY 11226-7181
Phone number: 718-421-4224
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Mailing Address
-- ETIENNA FANORD
1809 NOSTRAND AVE STE 2
BROOKLYN, NY 11226-7181
Phone number: 718-421-4224
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