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1174202360
NELLY MARISOL FONSECA YANCHA
BROOKLYN, NY
NPI
1174202360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 773226)
Enumeration Date
2023-07-14
Last Update Date
2023-07-14
Business Address
NELLY MARISOL FONSECA YANCHA
1372 MADISON ST
BROOKLYN, NY 11237-5909
Phone number: 347-596-3801
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Mailing Address
NELLY MARISOL FONSECA YANCHA
1372 MADISON ST
BROOKLYN, NY 11237-5909
Phone number: 347-596-3801
Copy
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