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1124650163
TATSIANA BOUTENKO
ELMHURST, NY
NPI
1124650163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 309137)
Enumeration Date
2020-02-07
Last Update Date
2020-02-07
Business Address
TATSIANA BOUTENKO NP
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 718-334-3057
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Mailing Address
TATSIANA BOUTENKO NP
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 718-334-3057
Copy
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