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1225575947
ELIZA KOLLIE
STATEN ISLAND, NY
NPI
1225575947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 3271601)
Enumeration Date
2017-01-20
Last Update Date
2018-05-15
Business Address
ELIZA KOLLIE
80 BEACH STREET
STATEN ISLAND, NY 10304
Phone number: 347-265-5482
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Mailing Address
ELIZA KOLLIE
80 BEACH ST
STATEN ISLAND, NY 10304-2702
Phone number: 347-265-5482
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