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1174260392
CAROLINE DESTEFANO
WHITE PLAINS, NY
NPI
1174260392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: NY 738062)
Enumeration Date
2022-05-18
Last Update Date
2022-05-18
Business Address
CAROLINE DESTEFANO
75 S BROADWAY
WHITE PLAINS, NY 10601-4413
Phone number: 203-409-3626
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Mailing Address
CAROLINE DESTEFANO
1967 STATE ROUTE 32
MODENA, NY 12548-5016
Phone number:
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