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1023232451
LISA MARIE VAN BRUNT
NEW YORK, NY
NPI
1023232451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY F381121)
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
Mrs. LISA MARIE VAN BRUNT CPNP
161 FORT WASHINGTON AVE IP7
NEW YORK, NY 10032-3729
Phone number: 212-305-9770
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Mailing Address
Mrs. LISA MARIE VAN BRUNT CPNP
161 FORT WASHINGTON AVENUE BUILDING IP7
NY, NY 10032
Phone number:
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