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1184145831
NISA BORWORNTHAMMARAT
SPRING VALLEY, NY
NPI
1184145831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 635532)
Enumeration Date
2017-07-03
Last Update Date
2017-07-03
Business Address
NISA BORWORNTHAMMARAT
230 N MAIN ST
SPRING VALLEY, NY 10977-4020
Phone number: 845-363-8140
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Mailing Address
NISA BORWORNTHAMMARAT
230 N MAIN ST
SPRING VALLEY, NY 10977-4020
Phone number:
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