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1053669093
META HALL
NEW YORK, NY
NPI
1053669093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-077462)
Enumeration Date
2012-08-23
Last Update Date
2012-08-23
Business Address
-- META HALL
75 BROAD ST RM 815
NEW YORK, NY 10004-3233
Phone number: 615-823-7608
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Mailing Address
-- META HALL
4205 ALDEBARAN WAY
MOBILE, AL 36693-4605
Phone number: 251-661-3707
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