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1386236925
TYISSHA K PENN
BRONX, NY
NPI
1386236925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 751579-1)
Enumeration Date
2021-02-04
Last Update Date
2021-02-04
Business Address
TYISSHA K PENN
1155 E 221ST ST
BRONX, NY 10469-1505
Phone number: 929-287-5761
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Mailing Address
TYISSHA K PENN
1155 E 221ST ST
BRONX, NY 10469-1505
Phone number: 929-287-5761
Copy
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