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1164090767
STACIAN GALLIMORE-KING
BRONX, NY
NPI
1164090767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 0516845)
Enumeration Date
2021-06-11
Last Update Date
2021-10-18
Business Address
STACIAN GALLIMORE-KING NP
1695 EASTCHESTER RD
BRONX, NY 10461-2374
Phone number: 718-405-8505
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Mailing Address
STACIAN GALLIMORE-KING NP
3044 ELY AVE
BRONX, NY 10469-3227
Phone number: 718-924-1601
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