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1033238910
JINETTE GRULLON
BRONX, NY
NPI
1033238910
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Former Name
JINETTE VILLANUEVA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 011113)
Enumeration Date
2007-03-29
Last Update Date
2018-03-17
Business Address
Ms. JINETTE GRULLON MPAS RPA-C
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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Mailing Address
Ms. JINETTE GRULLON MPAS RPA-C
PO BOX 418
MAMARONECK, NY 10543-0418
Phone number: 347-964-5279
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