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1407434558
JEEVAMOLE VARUGHESE
JAMAICA, NY
NPI
1407434558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY F-345495-01)
Enumeration Date
2021-03-31
Last Update Date
2021-08-12
Business Address
JEEVAMOLE VARUGHESE
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 646-280-7312
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Mailing Address
JEEVAMOLE VARUGHESE
8248 267TH ST
GLEN OAKS, NY 11004-1715
Phone number: 646-280-7312
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