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1326553041
MARK VINCENT DE JESUS
NEW YORK, NY
NPI
1326553041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2017-12-04
Last Update Date
2017-12-04
Business Address
MARK VINCENT DE JESUS PA-C
100 E 77TH ST
NEW YORK, NY 10075-1850
Phone number: 212-434-2000
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Mailing Address
MARK VINCENT DE JESUS PA-C
2543 HERING AVE
BRONX, NY 10469-5301
Phone number: 718-798-6592
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