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1366807620
KIA ONGLIQUE LONDON
BRONX, NY
NPI
1366807620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 019419)
Enumeration Date
2015-12-30
Last Update Date
2015-12-30
Business Address
-- KIA ONGLIQUE LONDON
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7295
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Mailing Address
-- KIA ONGLIQUE LONDON
3198 GRAND CONCOURSE
BRONX, NY 10458-1000
Phone number: 718-618-0401
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