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1346672300
TSAE JIAUG SU
BRONX, NY
NPI
1346672300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WD0400X Registered Nurse, Diabetes Educator
(Licence: NY 461258)
Enumeration Date
2013-08-01
Last Update Date
2013-08-01
Business Address
-- TSAE JIAUG SU RN
234 E 149TH ST
BRONX, NY 10451-5504
Phone number: 718-579-5197
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Mailing Address
-- TSAE JIAUG SU RN
75 -08 175TH STREET
FRESH MEADOWS, NY 11366-1402
Phone number: 718-969-0878
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