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1851152144
MARIAMI BASILASHVILI
BROOKLYN, NY
NPI
1851152144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: NY 01298850)
Enumeration Date
2024-01-23
Last Update Date
2024-01-24
Business Address
MARIAMI BASILASHVILI
130 AVENUE P APT 2L
BROOKLYN, NY 11204-6335
Phone number: 347-793-2693
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Mailing Address
MARIAMI BASILASHVILI
130 AVENUE P APT 2L
BROOKLYN, NY 11204-6335
Phone number: 347-793-2693
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