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1194452755
MIJA HA
BAYSIDE, NY
NPI
1194452755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NY F310736)
Enumeration Date
2022-08-04
Last Update Date
2022-08-04
Business Address
MIJA HA
21763 77TH AVE
BAYSIDE, NY 11364-3024
Phone number: 917-588-6962
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Mailing Address
MIJA HA
21763 77TH AVE
BAYSIDE, NY 11364-3024
Phone number: 917-588-6962
Copy
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