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1114623980
JENNIFER R HALLORAN
ROCKVILLE CENTRE, NY
NPI
1114623980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 349403)
Enumeration Date
2023-02-03
Last Update Date
2023-10-03
Business Address
JENNIFER R HALLORAN
36 LINCOLN AVE
ROCKVILLE CENTRE, NY 11570-5768
Phone number: 516-536-2800
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Mailing Address
JENNIFER R HALLORAN
36 LINCOLN AVE
ROCKVILLE CENTRE, NY 11570-5768
Phone number: 516-536-2800
Copy
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