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Individual
MRS. GLADYS BRAKO
Active
Individual
MRS. GLADYS BRAKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
301276-1
NY
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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