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1366562365
JANNINE MARIE THORP
BAY SHORE, NY
NPI
1366562365
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Former Name
JANNINE MARIE TRUDE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 010736)
Enumeration Date
2007-03-31
Last Update Date
2011-03-31
Business Address
Mrs. JANNINE MARIE THORP RPA-C
301 EAST MAIN ST SOUTHSIDE HOSPITAL
BAY SHORE, NY 11706
Phone number: 613-968-3525
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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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