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1578102612
FANTA NAWADA
BRONX, NY
NPI
1578102612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 333144)
Enumeration Date
2020-01-06
Last Update Date
2020-01-06
Business Address
FANTA NAWADA
2899 KINGSBRIGE TERRACE
BRONX, NY 10463
Phone number: 732-619-7571
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Mailing Address
FANTA NAWADA
2899 KINGSBRIGE TERRACE
BRONX, NY 10463
Phone number:
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