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1306120316
BERTHA BAZILE
NEW YORK, NY
NPI
1306120316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 303721)
Enumeration Date
2011-10-10
Last Update Date
2011-10-10
Business Address
-- BERTHA BAZILE
454 W 146TH ST APT. 5R
NEW YORK, NY 10031-4723
Phone number: 327-549-6686
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Mailing Address
-- BERTHA BAZILE
454 W 146TH ST APT. 5R
NEW YORK, NY 10031-4723
Phone number: 327-549-6686
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