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1124191853
LORY QUIDILLA
BROOKLYN, NY
NPI
1124191853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 386409)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
-- LORY QUIDILLA NP
4802 10TH AVE
BROOKLYN, NY 11219-2916
Phone number: 718-283-8773
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Mailing Address
-- LORY QUIDILLA NP
PO BOX 283
BROOKLYN, NY 11220-0283
Phone number: 718-283-8773
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