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1457094724
DESIREE AVIANCE HOLLY
BROOKLYN, NY
NPI
1457094724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse General Practice
(Licence: NY 790821)
Enumeration Date
2022-04-15
Last Update Date
2022-04-19
Business Address
DESIREE AVIANCE HOLLY
12 METROTECH 29 TH FLOOR
BROOKLYN, NY 11201
Phone number: 718-422-4200
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Mailing Address
DESIREE AVIANCE HOLLY
830 ASHFORD ST APT 7G
BROOKLYN, NY 11207-8108
Phone number: 347-848-9626
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