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1588247944
HOLLY ROSE AZUETA
PORT JEFFERSON, NY
NPI
1588247944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 807050)
Enumeration Date
2021-05-04
Last Update Date
2021-05-04
Business Address
HOLLY ROSE AZUETA RN
220 LIBERTY AVE
PORT JEFFERSON, NY 11777-2010
Phone number: 516-725-0263
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Mailing Address
HOLLY ROSE AZUETA RN
220 LIBERTY AVE
PORT JEFFERSON, NY 11777-2010
Phone number: 516-725-0263
Copy
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