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1730285388
KETLY FORTUNE NINO
JAMAICA, NY
NPI
1730285388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 041167-1)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
-- KETLY FORTUNE NINO D.D.S.
18402 HILLSIDE AVE
JAMAICA, NY 11432-4858
Phone number: 718-297-6282
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Mailing Address
-- KETLY FORTUNE NINO D.D.S.
18402 HILLSIDE AVE
JAMAICA, NY 11432-4858
Phone number: 718-297-6282
Copy
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