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1396969820
DERRICE CAROLYN JORDAN
BROOKLYN, NY
NPI
1396969820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F333178)
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
-- DERRICE CAROLYN JORDAN FNP
1800 E 93RD ST
BROOKLYN, NY 11236-5412
Phone number: 347-371-9824
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Mailing Address
-- DERRICE CAROLYN JORDAN FNP
1800 E 93RD ST
BROOKLYN, NY 11236-5412
Phone number: 347-371-9824
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