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1417631102
ORTAL ISRAILOV
JAMAICA, NY
NPI
1417631102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 856579)
Enumeration Date
2023-06-13
Last Update Date
2023-06-13
Business Address
ORTAL ISRAILOV
8287 164TH PL
JAMAICA, NY 11432-1824
Phone number: 347-656-4270
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Mailing Address
ORTAL ISRAILOV
8287 164TH PL
JAMAICA, NY 11432-1824
Phone number:
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