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1083931356
JESSY LUKOSE
BROOKLYN, NY
NPI
1083931356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: NY F340702-1)
Enumeration Date
2010-04-27
Last Update Date
2010-04-27
Business Address
-- JESSY LUKOSE
2601 OCEAN PKWY SUITE 4N98
BROOKLYN, NY 11235-7745
Phone number: 718-616-3780
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Mailing Address
-- JESSY LUKOSE
148 BYRNE AVE PH
STATEN ISLAND, NY 10314-4407
Phone number: 718-494-1874
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