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1144451477
THERESA ELESIE AGWA
VALLEY STREAM, NY
NPI
1144451477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 612816)
Enumeration Date
2009-08-04
Last Update Date
2009-08-04
Business Address
-- THERESA ELESIE AGWA RN
58 DEWITT ST
VALLEY STREAM, NY 11580-1613
Phone number: 516-448-6876
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Mailing Address
-- THERESA ELESIE AGWA RN
58 DEWITT ST
VALLEY STREAM, NY 11580-1613
Phone number: 516-448-6876
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