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1376139048
LOLA LUCILDA BARRACKS
BRONX, NY
NPI
1376139048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY F345704)
Enumeration Date
2020-12-17
Last Update Date
2021-10-28
Business Address
LOLA LUCILDA BARRACKS
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-618-0401
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Mailing Address
LOLA LUCILDA BARRACKS
1434 WILLIAMSBRIDGE RD FL 2
BRONX, NY 10461-2507
Phone number: 718-618-0401
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