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1972908911
FANTA DIALLO
BRONX, NY
NPI
1972908911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 308350-1)
Enumeration Date
2014-11-04
Last Update Date
2014-11-04
Business Address
-- FANTA DIALLO
1423 TELLER AVE 1K
BRONX, NY 10456-1002
Phone number: 347-781-3761
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Mailing Address
-- FANTA DIALLO
1423 TELLER AVE 1K
BRONX, NY 10456-1002
Phone number: 347-781-3761
Copy
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