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1407679798
FANELISE JEAN
BROOKLYN, NY
NPI
1407679798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 211212)
Enumeration Date
2024-11-05
Last Update Date
2024-11-05
Business Address
Ms. FANELISE JEAN LPN
1115 AVENUE U
BROOKLYN, NY 11223-5019
Phone number: 646-707-5907
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Mailing Address
Ms. FANELISE JEAN LPN
418 W 17TH ST APT 6C
NEW YORK, NY 10011-5831
Phone number:
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