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1043278906
JEAN VAVAL
JAMAICA, NY
NPI
1043278906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 163744)
Enumeration Date
2006-05-02
Last Update Date
2013-01-18
Business Address
-- JEAN VAVAL MD
8900 VAN WYCK EXPRESSWAY
JAMAICA, NY 11418
Phone number: 718-206-6088
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Mailing Address
-- JEAN VAVAL MD
80 MARCUS DR PROVIDER ENROLLMENT
MELVILLE, NY 11747-4230
Phone number: 631-391-7887
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