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1386097111
LYZA TRINIDAD BANDONG
NEW YORK, NY
NPI
1386097111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: NY F431016 -1)
Enumeration Date
2016-07-17
Last Update Date
2016-07-17
Business Address
MISS LYZA TRINIDAD BANDONG
417 E 90TH ST APT 7B
NEW YORK, NY 10128-5173
Phone number: 646-284-8891
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Mailing Address
MISS LYZA TRINIDAD BANDONG
417 E 90TH ST APT 7B
NEW YORK, NY 10128-5173
Phone number: 646-284-8891
Copy
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