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1073296224
GRACE COUCH
GREAT NECK, NY
NPI
1073296224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F352163-01)
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
GRACE COUCH FNP
865 NORTHERN BLVD
GREAT NECK, NY 11021-5335
Phone number: 516-622-5114
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Mailing Address
GRACE COUCH FNP
24079 67TH AVE
DOUGLASTON, NY 11362-1926
Phone number: 718-869-4356
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