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1861767659
DIANNE DEFOREST
STATEN ISLAND, NY
NPI
1861767659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: NY 407762-1)
Enumeration Date
2012-03-13
Last Update Date
2012-03-13
Business Address
-- DIANNE DEFOREST
100 TOMPKINS AVE
STATEN ISLAND, NY 10304-2627
Phone number: 718-816-8319
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Mailing Address
-- DIANNE DEFOREST
100 TOMPKINS AVE
STATEN ISLAND, NY 10304-2627
Phone number:
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