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1528599396
BRYAN BARACALDO
FLUSHING, NY
NPI
1528599396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 308171)
Enumeration Date
2017-03-23
Last Update Date
2017-04-07
Business Address
Mr. BRYAN BARACALDO
13519 77TH AVE
FLUSHING, NY 11367-2823
Phone number: 516-662-4487
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Mailing Address
Mr. BRYAN BARACALDO
13519 77TH AVE
FLUSHING, NY 11367-2823
Phone number: 516-662-4487
Copy
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