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1972858207
BRENDA FRESO
JAMAICA, NY
NPI
1972858207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 257669)
Enumeration Date
2012-07-24
Last Update Date
2012-07-24
Business Address
-- BRENDA FRESO
8825 163RD ST
JAMAICA, NY 11432-4046
Phone number: 718-739-0045
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Mailing Address
-- BRENDA FRESO
9031 FARRAGUT RD
BROOKLYN, NY 11236-3216
Phone number:
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