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1962957035
MIRANDA WARDELLE FUGATE
BRONX, NY
NPI
1962957035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 718922-1)
Enumeration Date
2016-08-18
Last Update Date
2016-08-18
Business Address
Miss MIRANDA WARDELLE FUGATE BSN, RN
750 TILDEN ST
BRONX, NY 10467-6013
Phone number: 352-538-2404
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Mailing Address
Miss MIRANDA WARDELLE FUGATE BSN, RN
750 TILDEN ST
BRONX, NY 10467-6013
Phone number: 352-538-2404
Copy
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