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1528687696
TASIKA M VITAL
BRONX, NY
NPI
1528687696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 345744)
Enumeration Date
2020-04-09
Last Update Date
2020-04-09
Business Address
TASIKA M VITAL
1650 GRAND CONCOURSE
BRONX, NY 10457-7606
Phone number: 718-960-1298
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Mailing Address
TASIKA M VITAL
1650 GRAND CONCOURSE
BRONX, NY 10457-7606
Phone number: 718-960-1298
Copy
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