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1215011481
VIVIAN GENEVA TERRY
JAMAICA, NY
NPI
1215011481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 001818)
Enumeration Date
2006-10-25
Last Update Date
2009-10-24
Business Address
Ms. VIVIAN GENEVA TERRY RPA-C
8264 168TH ST
JAMAICA, NY 11432-1328
Phone number: 718-883-3225
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Mailing Address
Ms. VIVIAN GENEVA TERRY RPA-C
8264 168TH ST
JAMAICA, NY 11432-1328
Phone number:
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