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1114303195
SMITHA EAPEN
JAMAICA, NY
NPI
1114303195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F307440-1)
Enumeration Date
2015-08-03
Last Update Date
2018-08-22
Business Address
SMITHA EAPEN
8268 164TH ST
JAMAICA, NY 11432
Phone number: 718-883-4133
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Mailing Address
SMITHA EAPEN
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-4133
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