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1245779297
SANDRA BOURJOLLY
BROOKLYN, NY
NPI
1245779297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 459560)
Enumeration Date
2017-02-22
Last Update Date
2017-02-22
Business Address
SANDRA BOURJOLLY
687 MACON ST
BROOKLYN, NY 11233-1517
Phone number: 212-729-4152
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Mailing Address
SANDRA BOURJOLLY
687 MACON STREET
BROOKLYN, NY 11233
Phone number: 212-729-4152
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