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1427490143
MAGDANA KHELASHVILI
BRONX, NY
NPI
1427490143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 662965)
Enumeration Date
2013-07-23
Last Update Date
2013-07-23
Business Address
-- MAGDANA KHELASHVILI
2052 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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Mailing Address
-- MAGDANA KHELASHVILI
2052 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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