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1225401466
JUNE BRAVO
BRENTWOOD, NY
NPI
1225401466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 240160-1)
Enumeration Date
2015-11-10
Last Update Date
2015-11-10
Business Address
-- JUNE BRAVO
294 WURZ ST
BRENTWOOD, NY 11717-8026
Phone number: 631-258-4166
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Mailing Address
-- JUNE BRAVO
294 WURZ ST
BRENTWOOD, NY 11717-8026
Phone number: 631-258-4166
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