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1194163535
CILISHA E MATTISON
BROOKLYN, NY
NPI
1194163535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 313968)
Enumeration Date
2013-06-07
Last Update Date
2013-06-07
Business Address
-- CILISHA E MATTISON
2920 CORTELYOU RD # A
BROOKLYN, NY 11226-6313
Phone number: 917-239-3094
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Mailing Address
-- CILISHA E MATTISON
2920 CORTELYOU RD # A
BROOKLYN, NY 11226-6313
Phone number: 917-239-3094
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