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1134736937
ASHLEY MANCILLA
MASSAPEQUA, NY
NPI
1134736937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY 346478)
Enumeration Date
2020-09-25
Last Update Date
2020-09-25
Business Address
ASHLEY MANCILLA FNP-BC
192 ONTARIO AVE
MASSAPEQUA, NY 11758-4027
Phone number: 347-436-2208
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Mailing Address
ASHLEY MANCILLA FNP-BC
192 ONTARIO AVE
MASSAPEQUA, NY 11758-4027
Phone number:
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