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1336908136
BIANCA LICEA
STATEN ISLAND, NY
NPI
1336908136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: NY 859122)
Enumeration Date
2024-03-15
Last Update Date
2024-03-15
Business Address
BIANCA LICEA
20 SCHUBERT ST
STATEN ISLAND, NY 10305-2911
Phone number: 917-415-2317
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Mailing Address
BIANCA LICEA
20 SCHUBERT ST
STATEN ISLAND, NY 10305-2911
Phone number: 917-415-2317
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