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1396488649
DETTY P JAMES
SUFFERN, NY
NPI
1396488649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F30976101)
Enumeration Date
2022-04-14
Last Update Date
2022-06-07
Business Address
DETTY P JAMES NP
255 LAFAYETTE AVE
SUFFERN, NY 10901-4812
Phone number: 845-368-5000
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Mailing Address
DETTY P JAMES NP
20 GRAND ST FL 3
WARWICK, NY 10990-1035
Phone number: 845-987-3906
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