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1245936244
RAVEN SIMONE JAMES
BROOKLYN, NY
NPI
1245936244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY 383381)
Enumeration Date
2023-02-01
Last Update Date
2023-02-01
Business Address
RAVEN SIMONE JAMES
2107 DITMAS AVE
BROOKLYN, NY 11226-6903
Phone number: 718-462-8100
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Mailing Address
RAVEN SIMONE JAMES
2107 DITMAS AVE
BROOKLYN, NY 11226-6903
Phone number:
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