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1104151554
KHATUNA KIPIANI
BRONX, NY
NPI
1104151554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY F352869)
Enumeration Date
2009-10-02
Last Update Date
2023-12-28
Business Address
MRS. KHATUNA KIPIANI NP
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-583-7736
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Mailing Address
MRS. KHATUNA KIPIANI NP
2626 HALPERIN AVE
BRONX, NY 10461-2631
Phone number: 718-618-0401
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