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1477002111
KELLY DAVILA
SUFFERN, NY
NPI
1477002111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 721218)
Enumeration Date
2016-09-22
Last Update Date
2016-09-22
Business Address
-- KELLY DAVILA RN
15 SUFFERN PLACE STE A
SUFFERN, NY 10901
Phone number: 845-357-4500
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Mailing Address
-- KELLY DAVILA RN
15 SUFFERN PLACE STE A
SUFFERN, NY 10901
Phone number: 845-357-4500
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