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1336391853
KENNY MIKITA LACOSSIERE
NEW YORK, NY
NPI
1336391853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 304963-1)
Enumeration Date
2008-10-15
Last Update Date
2008-10-15
Business Address
Ms. KENNY MIKITA LACOSSIERE Nurse Practitioner
1275 YORK AVE
NEW YORK, NY 10065-6007
Phone number: 212-717-3028
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Mailing Address
Ms. KENNY MIKITA LACOSSIERE Nurse Practitioner
60 TURNER PL APT 5W
BROOKLYN, NY 11218-3447
Phone number: 718-469-4618
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