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1417462326
GERARDO VIERNES HERMOGENES
STATEN ISLAND, NY
NPI
1417462326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 330834)
Enumeration Date
2017-12-14
Last Update Date
2017-12-14
Business Address
GERARDO VIERNES HERMOGENES
1000 CLOVE RD
STATEN ISLAND, NY 10301-3647
Phone number: 917-478-9605
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Mailing Address
GERARDO VIERNES HERMOGENES
1000 CLOVE RD
STATEN ISLAND, NY 10301-3647
Phone number: 917-478-9605
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