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1164944294
TAISHA S DAVIS
MONROE, NY
NPI
1164944294
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Former Name
TAISHA S PENNY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F341964)
Enumeration Date
2017-07-11
Last Update Date
2020-08-07
Business Address
TAISHA S DAVIS NP
855 STATE ROUTE 17M
MONROE, NY 10950-1600
Phone number: 845-703-6999
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Mailing Address
TAISHA S DAVIS NP
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941-4028
Phone number: 845-703-6999
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