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1104402502
WAVENIE COLLYMORE
BRONX, NY
NPI
1104402502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 565559-1)
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
WAVENIE COLLYMORE RN
2000 E GUN HILL RD
BRONX, NY 10469-6016
Phone number: 718-944-3189
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Mailing Address
WAVENIE COLLYMORE RN
2000 E GUN HILL RD
BRONX, NY 10469-6016
Phone number: 718-944-3189
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