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1164960290
SAINTULIA VICSAMA
NANUET, NY
NPI
1164960290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 324495)
Enumeration Date
2017-02-09
Last Update Date
2017-02-09
Business Address
-- SAINTULIA VICSAMA
43 EWING AVE
NANUET, NY 10954
Phone number: 845-367-3773
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Mailing Address
-- SAINTULIA VICSAMA
43 EWING AVE
NANUET, NY 10954
Phone number: 845-367-3773
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