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1235864919
RUTH JENNIFER DESORMEAU
BALDWIN, NY
NPI
1235864919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 349884)
Enumeration Date
2022-07-18
Last Update Date
2023-05-04
Business Address
RUTH JENNIFER DESORMEAU FNP- BC
808 GRACE ST
BALDWIN, NY 11510-3905
Phone number: 646-761-4826
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Mailing Address
RUTH JENNIFER DESORMEAU FNP- BC
808 GRACE ST
BALDWIN, NY 11510-3905
Phone number: 646-761-4826
Copy
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