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1194051052
CHANTAL CHOULOUTE
QUEENS VILLAGE, NY
NPI
1194051052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 243509-1)
Enumeration Date
2009-10-28
Last Update Date
2009-10-28
Business Address
-- CHANTAL CHOULOUTE
92-28 215TH PL
QUEENS VILLAGE, NY 11428-1233
Phone number: 718-740-5905
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Mailing Address
-- CHANTAL CHOULOUTE
9228 215TH PL
QUEENS VILLAGE, NY 11428-1233
Phone number: 718-740-5905
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