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1861768434
KETTLIE JOSEPH
QUEENS VILLAGE, NY
NPI
1861768434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 653078)
Enumeration Date
2012-03-28
Last Update Date
2012-03-28
Business Address
-- KETTLIE JOSEPH
22121 JAMAICA AVE
QUEENS VILLAGE, NY 11428-2015
Phone number: 718-468-6923
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Mailing Address
-- KETTLIE JOSEPH
22121 JAMAICA AVE
QUEENS VILLAGE, NY 11428-2015
Phone number: 718-468-6923
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