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1114285897
MARIE BOLIVAR
JAMAICA, NY
NPI
1114285897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 291349)
Enumeration Date
2012-05-01
Last Update Date
2012-05-01
Business Address
-- MARIE BOLIVAR
8825 163RD ST
JAMAICA, NY 11432-4046
Phone number: 718-739-0045
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Mailing Address
-- MARIE BOLIVAR
10018 218TH ST
QUEENS VILLAGE, NY 11429-1221
Phone number:
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