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1730783143
JISMI JOSHY VATHIELIL
STONY BROOK, NY
NPI
1730783143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL RN9409396)
Enumeration Date
2020-11-25
Last Update Date
2020-11-25
Business Address
JISMI JOSHY VATHIELIL
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-689-8333
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Mailing Address
JISMI JOSHY VATHIELIL
5951 NW 80TH TER
PARKLAND, FL 33067-1128
Phone number: 954-240-4875
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