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1396378790
BASIRAT PELEMO
STATEN ISLAND, NY
NPI
1396378790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 641085)
Enumeration Date
2020-02-14
Last Update Date
2020-02-14
Business Address
BASIRAT PELEMO FNP
456 VAN DUZER ST APT D3
STATEN ISLAND, NY 10304-2076
Phone number: 347-782-5104
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Mailing Address
BASIRAT PELEMO FNP
456 VAN DUZER ST APT D3
STATEN ISLAND, NY 10304-2076
Phone number: 347-782-5104
Copy
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