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1306331681
ILLORNA BREW
BRONX, NY
NPI
1306331681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 742868)
Enumeration Date
2018-06-28
Last Update Date
2018-06-28
Business Address
ILLORNA BREW
801 E 241ST ST
BRONX, NY 10470
Phone number: 718-671-2100
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Mailing Address
ILLORNA BREW
801 E 241ST ST
BRONX, NY 10470-1303
Phone number: 718-671-2100
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