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1548682792
KHADIJA C. PROWELL
BROOKLYN, NY
NPI
1548682792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 365747787)
Enumeration Date
2014-01-07
Last Update Date
2014-01-07
Business Address
-- KHADIJA C. PROWELL
670 PARKSIDE AVE
BROOKLYN, NY 11226-1506
Phone number: 718-675-1249
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Mailing Address
-- KHADIJA C. PROWELL
670 PARKSIDE AVE
BROOKLYN, NY 11226-1506
Phone number: 718-675-1249
Copy
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