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1205531357
EVELYN FONSECA
STATEN ISLAND, NY
NPI
1205531357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-30
Last Update Date
2023-03-30
Business Address
EVELYN FONSECA
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
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Mailing Address
EVELYN FONSECA
12 ALBERT ST
SAYREVILLE, NJ 08872-1553
Phone number:
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