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1295984011
MARIA DIVETTA
STATEN ISLAND, NY
NPI
1295984011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 269154)
Enumeration Date
2008-09-17
Last Update Date
2008-09-17
Business Address
-- MARIA DIVETTA LPN
1477 HYLAN BLVD
STATEN ISLAND, NY 10305-1906
Phone number: 718-979-6900
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Mailing Address
-- MARIA DIVETTA LPN
106 SPARKILL AVE
STATEN ISLAND, NY 10304-3139
Phone number: 718-987-4145
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