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1801046412
MADELIA SURAVILLA
NEW YORK, NY
NPI
1801046412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 00396601)
Enumeration Date
2008-09-19
Last Update Date
2008-09-19
Business Address
-- MADELIA SURAVILLA RN
219 E 121ST STREET
NEW YORK, NY 10035-3018
Phone number: 212-987-5133
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Mailing Address
-- MADELIA SURAVILLA RN
95 PINE STREET 17TH FLOOR ODYSSEY HOUSE, INC
NEW YORK, NY 10005
Phone number: 212-987-5133
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