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1205595048
TNLJ NP LLC
CENTRAL ISLIP, NY
NPI
1205595048
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Entity Type
Organization
Authorized Contact
TAKEISHA JUDKINS
Owner
718-517-1660
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2021-12-09
Last Update Date
2021-12-09
Business Address
TNLJ NP LLC
25 NICOLL AVE
CENTRAL ISLIP, NY 11722-3136
Phone number: 718-517-1660
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Mailing Address
TNLJ NP LLC
25 NICOLL AVE
CENTRAL ISLIP, NY 11722-3136
Phone number:
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