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1881871804
JOAN VIRGIN
BRONX, NY
NPI
1881871804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 262162-1)
Enumeration Date
2008-01-22
Last Update Date
2008-01-22
Business Address
-- JOAN VIRGIN
4369 ELY AVE
BRONX, NY 10466-1815
Phone number: 718-653-1836
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Mailing Address
-- JOAN VIRGIN
4369 ELY AVE
BRONX, NY 10466-1815
Phone number: 718-653-1836
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