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1720397656
DIANA FERNANDEZ
JAMAICA, NY
NPI
1720397656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 301576)
Enumeration Date
2010-09-27
Last Update Date
2010-09-27
Business Address
DIANA FERNANDEZ
13948 86TH AVE
JAMAICA, NY 11435-3002
Phone number: 347-249-1001
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Mailing Address
DIANA FERNANDEZ
13948 86TH AVE
JAMAICA, NY 11435-3002
Phone number: 347-249-1001
Copy
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