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1811671969
MISTY SIOSON LALIC
BRONX, NY
NPI
1811671969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY 612376)
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
MISTY SIOSON LALIC RN
2840 WELLMAN AVE FL 1
BRONX, NY 10461-5583
Phone number: 917-773-7910
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Mailing Address
MISTY SIOSON LALIC RN
2840 WELLMAN AVE FL 1
BRONX, NY 10461-5583
Phone number: 917-773-7910
Copy
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