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1174940662
DESIANNE NATANYA FRASER
BRONX, NY
NPI
1174940662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: NY 666082-1)
Enumeration Date
2014-03-24
Last Update Date
2014-03-24
Business Address
-- DESIANNE NATANYA FRASER Registered Nurse
1822 STILLWELL AVE FRONT DESK
BRONX, NY 10469-1233
Phone number: 718-652-7939
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Mailing Address
-- DESIANNE NATANYA FRASER Registered Nurse
745 E 242ND ST APT 2C
BRONX, NY 10470-1233
Phone number: 914-406-2817
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