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1750617320
NORMA ELIZABETH FORMOSO
QUEENS VILLAGE, NY
NPI
1750617320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 217854)
Enumeration Date
2009-11-02
Last Update Date
2009-11-02
Business Address
-- NORMA ELIZABETH FORMOSO
22413 DAVENPORT AVE
QUEENS VILLAGE, NY 11428-1462
Phone number: 718-413-4485
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Mailing Address
-- NORMA ELIZABETH FORMOSO
22413 DAVENPORT AVE
QUEENS VILLAGE, NY 11428-1462
Phone number: 718-413-4485
Copy
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