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1366807513
FIDELIS CARRASCO
BRONX, NY
NPI
1366807513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 705784)
Enumeration Date
2015-12-15
Last Update Date
2015-12-15
Business Address
-- FIDELIS CARRASCO
510 E 156TH ST
BRONX, NY 10455-1416
Phone number: 718-671-2100
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Mailing Address
-- FIDELIS CARRASCO
2052 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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