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1992941371
THEODORA HANSON
BRONX, NY
NPI
1992941371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 295445)
Enumeration Date
2009-01-06
Last Update Date
2009-01-06
Business Address
-- THEODORA HANSON
1374 BRONX RIVER AVE APT 3 E
BRONX, NY 10472-1106
Phone number: 917-583-9719
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Mailing Address
-- THEODORA HANSON
1374 BRONX RIVER AVE APT 3 E
BRONX, NY 10472-1106
Phone number: 917-583-9719
Copy
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