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1356582407
ICILDA INNOCENT
ELMONT, NY
NPI
1356582407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 480696)
Enumeration Date
2009-03-19
Last Update Date
2009-03-19
Business Address
Mrs. ICILDA INNOCENT RN
137 BUTLER BLVD
ELMONT, NY 11003
Phone number: 347-563-7693
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Mailing Address
Mrs. ICILDA INNOCENT RN
137 BUTLER BLVD.
ELMONT, NY 11003
Phone number: 347-563-7693
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