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1164527164
JENNIFER ANNE GRELLA
SMITHTOWN, NY
NPI
1164527164
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Former Name
JENNIFER ANNE MABEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F303036-1)
Enumeration Date
2006-09-14
Last Update Date
2008-08-18
Business Address
Mrs. JENNIFER ANNE GRELLA APRN,BC
363 ROUTE 111 SUITE 101
SMITHTOWN, NY 11787-4756
Phone number: 631-724-8075
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Mailing Address
Mrs. JENNIFER ANNE GRELLA APRN,BC
25 ASTER AVE
HOLTSVILLE, NY 11742-1733
Phone number: 631-207-2262
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