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1023679503
KATLYN ANN CONVILLE
PORT JEFFERSON, NY
NPI
1023679503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 344632)
Enumeration Date
2019-06-25
Last Update Date
2019-06-25
Business Address
KATLYN ANN CONVILLE NP
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-686-2565
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Mailing Address
KATLYN ANN CONVILLE NP
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number:
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