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1851015812
JUAN A MIZHQUIRI
STATEN ISLAND, NY
NPI
1851015812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 344087-01)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
JUAN A MIZHQUIRI
26 DUMONT AVE
STATEN ISLAND, NY 10305-1450
Phone number: 718-667-8510
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Mailing Address
JUAN A MIZHQUIRI
10519 37TH AVE
CORONA, NY 11368-5547
Phone number: 347-353-6001
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