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1205185444
RAVELLA JAINARAIN
QUEENS VILLAGE, NY
NPI
1205185444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F305457-1)
Enumeration Date
2012-09-04
Last Update Date
2012-09-04
Business Address
-- RAVELLA JAINARAIN NP
10415 211TH PL
QUEENS VILLAGE, NY 11429-1545
Phone number: 917-224-0216
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Mailing Address
-- RAVELLA JAINARAIN NP
10415 211TH PL
QUEENS VILLAGE, NY 11429-1545
Phone number: 917-224-0216
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