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1477067304
OLGA KASYMOWA
STATEN ISLAND, NY
NPI
1477067304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 317329)
Enumeration Date
2017-11-30
Last Update Date
2017-11-30
Business Address
OLGA KASYMOWA
112 TIMBER RIDGE DR
STATEN ISLAND, NY 10306-1116
Phone number: 718-753-9964
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Mailing Address
OLGA KASYMOWA
112 TIMBER RIDGE DR
STATEN ISLAND, NY 10306-1116
Phone number:
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