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1295513778
KELLY TATIANA GARCES TRUJILLO
ELMHURST, NY
NPI
1295513778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 351661)
Enumeration Date
2023-09-18
Last Update Date
2023-09-22
Business Address
KELLY TATIANA GARCES TRUJILLO FNP
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 347-553-0145
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Mailing Address
KELLY TATIANA GARCES TRUJILLO FNP
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 718-334-2488
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