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1013679273
AYUK B ETANG
LATHAM, NY
NPI
1013679273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY F347994-01)
Enumeration Date
2021-10-06
Last Update Date
2021-10-06
Business Address
AYUK B ETANG
1205 TROY SCHENECTADY RD STE 100
LATHAM, NY 12110-1075
Phone number: 518-348-3176
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Mailing Address
AYUK B ETANG
22 PARK LN S APT 5
MENANDS, NY 12204-1922
Phone number: 518-250-8685
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