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1205462561
JESSICA KAYLA FARGO
STATEN ISLAND, NY
NPI
1205462561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY 780648)
Enumeration Date
2020-03-19
Last Update Date
2020-03-19
Business Address
JESSICA KAYLA FARGO RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2646
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Mailing Address
JESSICA KAYLA FARGO RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number:
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