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1831807064
LARISA GOFMAN
BROOKLYN, NY
NPI
1831807064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 682757)
Enumeration Date
2022-11-07
Last Update Date
2022-11-07
Business Address
LARISA GOFMAN
417 BRIGHTWATER CT
BROOKLYN, NY 11235-7152
Phone number: 929-216-7470
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Mailing Address
LARISA GOFMAN
417 BRIGHTWATER CT
BROOKLYN, NY 11235-7152
Phone number: 929-216-7470
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