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1407383193
MARIE MEDINA-MERVEILLE
BRONX, NY
NPI
1407383193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F341677-01)
Enumeration Date
2017-05-12
Last Update Date
2020-06-01
Business Address
MARIE MEDINA-MERVEILLE FNP RN
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-618-0401
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Mailing Address
MARIE MEDINA-MERVEILLE FNP RN
20 WAYNE AVE
WHITE PLAINS, NY 10606-2102
Phone number: 914-439-5312
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