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Individual

MS. AGNES CLARISSA KIRBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6424 18TH AVE FL 2, BROOKLYN, NY 11204-3729
(702) 463-0300
Mailing address
4040 S EASTERN AVE STE 300, LAS VEGAS, NV 89119-0854
(702) 463-0300

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
847340
NV
163W00000X
Registered Nurse
Primary
940937
NY
164W00000X
Licensed Practical Nurse
324269
NY
164W00000X
Licensed Practical Nurse
847340
NV

Other

Enumeration date
01/14/2016
Last updated
12/26/2024
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