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1225731953
MIMOSE CHARLES
BROOKLYN, NY
NPI
1225731953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LS0200X Nurse Practitioner, School
(Licence: NY 502800-1)
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
MIMOSE CHARLES
5101 AVENUE M
BROOKLYN, NY 11234-3825
Phone number: 718-272-2946
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Mailing Address
MIMOSE CHARLES
666 E 88TH ST
BROOKLYN, NY 11236-3402
Phone number: 347-432-5294
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