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1497938187
STACEY BLOT
BRONX, NY
NPI
1497938187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 559845-1)
Enumeration Date
2007-12-17
Last Update Date
2007-12-17
Business Address
-- STACEY BLOT
4003 HILL AVE
BRONX, NY 10466-2301
Phone number: 917-496-7382
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Mailing Address
-- STACEY BLOT
4003 HILL AVE
BRONX, NY 10466-2301
Phone number: 917-496-7382
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