JANNINE MARIE THORP

BAY SHORE, NY
NPI1366562365
Former NameJANNINE MARIE TRUDE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  010736)
Enumeration Date2007-03-31
Last Update Date2011-03-31
Business Address
Mrs. JANNINE MARIE THORP RPA-C
301 EAST MAIN ST SOUTHSIDE HOSPITAL
BAY SHORE, NY 11706
Phone number: 613-968-3525
Mailing Address
Mrs. JANNINE MARIE THORP RPA-C
301 EAST MAIN ST SOUTHSIDE HOSPITAL
BAY SHORE, NY 11706
Phone number: 613-968-3525
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