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1114465499
IVELISSE GUEVARA REYES
FREEPORT, NY
NPI
1114465499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY 341114)
Enumeration Date
2017-02-07
Last Update Date
2017-02-07
Business Address
IVELISSE GUEVARA REYES FNP
55 N MAIN ST
FREEPORT, NY 11520-2243
Phone number: 516-377-8014
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Mailing Address
IVELISSE GUEVARA REYES FNP
55 N MAIN ST
FREEPORT, NY 11520-2243
Phone number: 516-377-8014
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