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1932741246
DIVINA GRACIA A LLANES
BRONX, NY
NPI
1932741246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: NY 440292)
Enumeration Date
2019-10-09
Last Update Date
2019-10-09
Business Address
DIVINA GRACIA A LLANES
1500 WATERS PL
BRONX, NY 10461-2723
Phone number: 929-348-3218
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Mailing Address
DIVINA GRACIA A LLANES
1856 FOWLER AVE PH
BRONX, NY 10462-3709
Phone number: 917-773-2710
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