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1306314067
SHANIQUE R CAMPBELL
NEW YORK, NY
NPI
1306314067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F342894-1)
Enumeration Date
2018-11-10
Last Update Date
2018-11-10
Business Address
Ms. SHANIQUE R CAMPBELL NP
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029-6504
Phone number: 212-241-6500
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Mailing Address
Ms. SHANIQUE R CAMPBELL NP
472 GRAMATAN AVE APT H4
MOUNT VERNON, NY 10552-2972
Phone number: 917-930-6254
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