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1578079695
CARLA FONTANGE
JAMAICA, NY
NPI
1578079695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NJ 26np06944700)
Enumeration Date
2017-12-27
Last Update Date
2017-12-27
Business Address
CARLA FONTANGE LPN
16937 144TH RD
JAMAICA, NY 11434-5929
Phone number: 718-978-7221
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Mailing Address
CARLA FONTANGE LPN
103 BROOKDALE GDNS APT D
BLOOMFIELD, NJ 07003-6396
Phone number: 973-444-7299
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