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1487291746
EKATERINA BOLOSOVA
BROOKLYN, NY
NPI
1487291746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 308168)
Enumeration Date
2019-12-05
Last Update Date
2019-12-05
Business Address
EKATERINA BOLOSOVA NP
5701 4TH AVE
BROOKLYN, NY 11220-3315
Phone number: 718-567-2800
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Mailing Address
EKATERINA BOLOSOVA NP
5701 4TH AVE
BROOKLYN, NY 11220-3315
Phone number:
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