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1205507597
SOPHIA STALEY
FLUSHING, NY
NPI
1205507597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LC0200X Nurse Practitioner Critical Care Medicine
(Licence: NY F432146-01)
Enumeration Date
2021-09-26
Last Update Date
2021-09-26
Business Address
SOPHIA STALEY
6716 PARSONS BLVD APT 6C
FLUSHING, NY 11365-2958
Phone number: 718-591-5308
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Mailing Address
SOPHIA STALEY
6716 PARSONS BLVD APT 6C
FLUSHING, NY 11365-2958
Phone number:
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