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1376042333
MARIAMMA C OOMMEN
QUEENS VILLAGE, NY
NPI
1376042333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: NY 429210)
Enumeration Date
2018-02-06
Last Update Date
2018-02-06
Business Address
MARIAMMA C OOMMEN
79 25 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427
Phone number: 718-264-4420
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Mailing Address
MARIAMMA C OOMMEN
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427-2128
Phone number: 718-264-4420
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