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1235691544
TANIA GENNELL
MINEOLA, NY
NPI
1235691544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-04
Last Update Date
2019-04-04
Business Address
TANIA GENNELL MD
222 STATION PLZ N STE 300
MINEOLA, NY 11501-3893
Phone number: 516-663-1625
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Mailing Address
TANIA GENNELL MD
247 W 3RD AVE
COLUMBUS, OH 43201-3414
Phone number: 805-795-4340
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