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1104290188
CHERYL B PHOENIX
BROOKLYN, NY
NPI
1104290188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F307556-1)
Enumeration Date
2015-11-13
Last Update Date
2015-11-13
Business Address
-- CHERYL B PHOENIX
443 FENIMORE ST
BROOKLYN, NY 11225-5905
Phone number: 718-771-0513
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Mailing Address
-- CHERYL B PHOENIX
443 FENIMORE ST
BROOKLYN, NY 11225-5905
Phone number: 718-771-0513
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