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1346950060
JACKIE LYNN SPAGNUOLO
STATEN ISLAND, NY
NPI
1346950060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY f31110201)
Enumeration Date
2022-12-05
Last Update Date
2022-12-05
Business Address
JACKIE LYNN SPAGNUOLO NP
116 LAMBERTS LN
STATEN ISLAND, NY 10314-7210
Phone number: 718-619-5867
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Mailing Address
JACKIE LYNN SPAGNUOLO NP
50 LYNBROOK AVE
STATEN ISLAND, NY 10309-4509
Phone number: 718-619-5867
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