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1285863654
GRACE LUCIA HALLERAN
MANHASSET, NY
NPI
1285863654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 0132171)
Enumeration Date
2009-07-07
Last Update Date
2009-07-07
Business Address
GRACE LUCIA HALLERAN PA
1129 NORTHERN BLVD SUITE 408
MANHASSET, NY 11030-3022
Phone number: 516-627-2121
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Mailing Address
GRACE LUCIA HALLERAN PA
1129 NORTHERN BLVD SUITE 408
MANHASSET, NY 11030-3022
Phone number: 516-627-2121
Copy
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