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1710256151
TAMISHA DESOUSA
BROOKLYN, NY
NPI
1710256151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: NY 519570-1)
Enumeration Date
2011-12-14
Last Update Date
2011-12-14
Business Address
-- TAMISHA DESOUSA R.N.
567 E 105TH ST
BROOKLYN, NY 11236-2213
Phone number: 718-307-3011
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Mailing Address
-- TAMISHA DESOUSA R.N.
567 E 105TH ST
BROOKLYN, NY 11236-2213
Phone number: 718-307-3011
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