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1689234007
KANTHI PERERA
STATEN ISLAND, NY
NPI
1689234007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 333606)
Enumeration Date
2019-06-18
Last Update Date
2019-06-18
Business Address
KANTHI PERERA
26 DUMONT AVE
STATEN ISLAND, NY 10305-1450
Phone number: 718-310-7907
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Mailing Address
KANTHI PERERA
326 VICTORY BLVD
STATEN ISLAND, NY 10301-2950
Phone number: 718-310-7907
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