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1174904452
MARTHA GUSTAS
BROOKLYN, NY
NPI
1174904452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 206380)
Enumeration Date
2015-06-12
Last Update Date
2015-06-15
Business Address
-- MARTHA GUSTAS LPN
85 BARTLETT ST
BROOKLYN, NY 11206-4429
Phone number: 171-882-8266
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Mailing Address
-- MARTHA GUSTAS LPN
14340 41ST AVE APT 5L FLUSHING
FLUSHING, NY 11355-1829
Phone number: 917-200-8870
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