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1184129546
MARC DEVEREAUX
STATEN ISLAND, NY
NPI
1184129546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY 663148-1)
Enumeration Date
2018-03-28
Last Update Date
2018-03-28
Business Address
MARC DEVEREAUX RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2396
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Mailing Address
MARC DEVEREAUX RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number:
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