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1639749500
FABRICE DA'VAL GANTT
BROOKLYN, NY
NPI
1639749500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 274690)
Enumeration Date
2021-07-01
Last Update Date
2021-07-01
Business Address
FABRICE DA'VAL GANTT LPN
261 9TH ST
BROOKLYN, NY 11215-3905
Phone number: 718-369-3812
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Mailing Address
FABRICE DA'VAL GANTT LPN
448 WILLOUGHBY AVE
BROOKLYN, NY 11206-6412
Phone number: 718-288-3691
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