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1760730683
CORNELIA VIVECA MANTOCK
BRONX, NY
NPI
1760730683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 296987-1)
Enumeration Date
2012-08-27
Last Update Date
2012-09-21
Business Address
Ms. CORNELIA VIVECA MANTOCK
1045 E 230 STREET
BRONX, NY 10466
Phone number: 718-882-3675
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Mailing Address
Ms. CORNELIA VIVECA MANTOCK
P.O BOX 1378 1045 EAST 230 STREET
BRONX, NY 10466
Phone number: 715-882-3675
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