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1164514279
THERETHA GILBERT
BRENTWOOD, NY
NPI
1164514279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NY F400447)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
THERETHA GILBERT NP
1841 BRENTWOOD RD
BRENTWOOD, NY 11717-4625
Phone number: 631-853-2783
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Mailing Address
THERETHA GILBERT NP
BOX 1025
AMITYVILLE, NY 11701
Phone number:
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