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1841730033
ANDREA MACK
BRONX, NY
NPI
1841730033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 314537)
Enumeration Date
2017-03-07
Last Update Date
2017-03-07
Business Address
-- ANDREA MACK
801 E 241ST ST
BRONX, NY 10470-1303
Phone number: 718-671-2100
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Mailing Address
-- ANDREA MACK
801 E 241ST ST
BRONX, NY 10470-1303
Phone number: 718-671-2100
Copy
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