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1477305837
DIANE VICENCIO
LONG ISLAND CITY, NY
NPI
1477305837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 726660-01)
Enumeration Date
2024-04-01
Last Update Date
2024-04-01
Business Address
DIANE VICENCIO Registered Nurse
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101-1725
Phone number: 718-606-3863
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Mailing Address
DIANE VICENCIO Registered Nurse
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101-1725
Phone number:
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