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1811548019
MANUEL CIFUENTES
STATEN ISLAND, NY
NPI
1811548019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: NY 742550-1)
Enumeration Date
2019-09-28
Last Update Date
2019-09-28
Business Address
MANUEL CIFUENTES
646 WILLOWBROOK RD
STATEN ISLAND, NY 10314-6826
Phone number: 786-608-3233
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Mailing Address
MANUEL CIFUENTES
646 WILLOWBROOK RD
STATEN ISLAND, NY 10314-6826
Phone number: 786-608-3233
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