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1265563795
MYRNA AGOSTO
EAST ELMHURST, NY
NPI
1265563795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: NY 400605)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
-- MYRNA AGOSTO N.P.P.
7520 ASTORIA BLVD
EAST ELMHURST, NY 11370-1131
Phone number: 718-888-6788
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Mailing Address
-- MYRNA AGOSTO N.P.P.
13340 132ND ST
SOUTH OZONE PARK, NY 11420-3807
Phone number: 718-322-1747
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