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1790926756
TRAVIS PEREIRA
BROOKLYN, NY
NPI
1790926756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 295972)
Enumeration Date
2009-03-20
Last Update Date
2009-03-20
Business Address
TRAVIS PEREIRA
8318 AVENUE N
BROOKLYN, NY 11236-5108
Phone number: 347-776-0664
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Mailing Address
TRAVIS PEREIRA
8318 AVENUE N
BROOKLYN, NY 11236-5108
Phone number: 347-776-0664
Copy
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