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1336910231
JOLISA HICKMAN
BRONX, NY
NPI
1336910231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 34762901)
Enumeration Date
2024-01-10
Last Update Date
2024-01-10
Business Address
JOLISA HICKMAN
740 E GUN HILL RD APT 1B
BRONX, NY 10467-6120
Phone number: 929-371-9545
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Mailing Address
JOLISA HICKMAN
740 E GUN HILL RD APT 1B
BRONX, NY 10467-6120
Phone number:
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