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1992278683
NANA GVASALIA
BROOKLYN, NY
NPI
1992278683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 576446)
Enumeration Date
2019-01-06
Last Update Date
2019-01-06
Business Address
NANA GVASALIA
2525 W 2ND ST APT 3D
BROOKLYN, NY 11223-6269
Phone number: 917-673-7307
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Mailing Address
NANA GVASALIA
2525 W 2ND ST APT 3D
BROOKLYN, NY 11223-6269
Phone number: 917-673-7307
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