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1295451029
MARIENELLIE GRANDCHAMPS
BRONX, NY
NPI
1295451029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F348575)
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
MARIENELLIE GRANDCHAMPS FNP
2626 HALPERIN AVE
BRONX, NY 10461-2631
Phone number: 718-618-0401
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Mailing Address
MARIENELLIE GRANDCHAMPS FNP
13033 228TH ST
LAURELTON, NY 11413-1742
Phone number: 347-636-7338
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