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1164818324
JOHANNA PORTOVIEJO
BROOKLYN, NY
NPI
1164818324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 647696)
Enumeration Date
2015-04-14
Last Update Date
2015-04-14
Business Address
-- JOHANNA PORTOVIEJO
326 VAN BRUNT ST
BROOKLYN, NY 11231-1268
Phone number: 347-907-1979
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Mailing Address
-- JOHANNA PORTOVIEJO
326 VAN BRUNT ST
BROOKLYN, NY 11231-1268
Phone number:
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