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1457716565
TISHAUNA FOOTMAN
BRONX, NY
NPI
1457716565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 270287)
Enumeration Date
2015-12-17
Last Update Date
2015-12-17
Business Address
-- TISHAUNA FOOTMAN
2527 GLEBE AVE
BRONX, NY 10461-3109
Phone number: 718-904-4400
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Mailing Address
-- TISHAUNA FOOTMAN
2527 GLEBE AVE
BRONX, NY 10461-3109
Phone number:
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