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1417506056
MISLIE MAZAMA
BROOKLYN, NY
NPI
1417506056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NJ 335961)
Enumeration Date
2019-09-06
Last Update Date
2019-09-06
Business Address
MISLIE MAZAMA
6321 NEW UTRECHT AVE
BROOKLYN, NY 11219-5425
Phone number: 212-687-7464
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Mailing Address
MISLIE MAZAMA
6321 NEW UTRECHT AVE
BROOKLYN, NY 11219-5425
Phone number: 212-687-7464
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