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1407424443
MAMAN ASSIATA FANE
NEW YORK, NY
NPI
1407424443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 738564)
Enumeration Date
2021-06-16
Last Update Date
2021-06-16
Business Address
MAMAN ASSIATA FANE RN
506 LENOX AVE
NEW YORK, NY 10037-1802
Phone number: 212-939-8314
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Mailing Address
MAMAN ASSIATA FANE RN
200 W 148TH ST APT 2B
NEW YORK, NY 10039-3132
Phone number: 917-500-7687
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