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1952710576
KCENIA NISANOV
FOREST HILLS, NY
NPI
1952710576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174H00000X Health Educator
(Licence: NY 2620731)
Enumeration Date
2014-08-07
Last Update Date
2014-08-07
Business Address
-- KCENIA NISANOV
10815 67TH DR
FOREST HILLS, NY 11375-2945
Phone number: 718-374-3302
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Mailing Address
-- KCENIA NISANOV
10815 67TH DR
FOREST HILLS, NY 11375-2945
Phone number: 718-374-3302
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