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1477820884
STACEY RICKETTS-KIFFIN
BRONX, NY
NPI
1477820884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: NY 596177-1)
Enumeration Date
2011-11-30
Last Update Date
2011-11-30
Business Address
Mrs. STACEY RICKETTS-KIFFIN RN
1510 WATERS PL
BRONX, NY 10461-2700
Phone number: 347-493-8503
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Mailing Address
Mrs. STACEY RICKETTS-KIFFIN RN
1510 WATERS PL
BRONX, NY 10461-2700
Phone number: 347-493-8503
Copy
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