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1982002259
LISA LARSEN
BROOKLYN, NY
NPI
1982002259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 663225)
Enumeration Date
2014-12-18
Last Update Date
2019-02-27
Business Address
LISA LARSEN
8601 RIDGE BLVD
BROOKLYN, NY 11209
Phone number: 718-745-6610
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Mailing Address
LISA LARSEN
8601 RIDGE BLVD
BROOKLYN, NY 11209-4905
Phone number: 718-745-6610
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