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1194190157
MERTLE JOHN
BRONX, NY
NPI
1194190157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 323845)
Enumeration Date
2015-12-02
Last Update Date
2015-12-02
Business Address
-- MERTLE JOHN
2052 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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Mailing Address
-- MERTLE JOHN
2052 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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