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1154180289
JOANNA LYNNE DEFOREST
NEW YORK, NY
NPI
1154180289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 887356)
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
JOANNA LYNNE DEFOREST RN
102 RIVERS EDGE RD
NEW YORK, NY 10035-1163
Phone number: 929-282-8060
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Mailing Address
JOANNA LYNNE DEFOREST RN
94 ARMSTRONG AVE
STATEN ISLAND, NY 10308-3303
Phone number: 929-282-8060
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