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1134526197
JERRELL FRANCIS BLANCO
NEW YORK, NY
NPI
1134526197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F306863-1)
Enumeration Date
2014-11-19
Last Update Date
2015-03-27
Business Address
Mr. JERRELL FRANCIS BLANCO NP
301 E 17TH ST NURSING OFFICE, C-LEVEL
NEW YORK, NY 10003-3804
Phone number: 212-598-7674
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Mailing Address
Mr. JERRELL FRANCIS BLANCO NP
25 W 13TH ST 5MN
NEW YORK, NY 10011-7955
Phone number: 917-406-2112
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