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1407455884
VEDALIE SOUVENANCE
QUEENS VILLAGE, NY
NPI
1407455884
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Other Name
VEDALIE SOUVENANCE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F311426-01)
Enumeration Date
2020-10-18
Last Update Date
2024-11-19
Business Address
VEDALIE SOUVENANCE NP
21229 HILLSIDE AVE APT 3JE
QUEENS VILLAGE, NY 11427-1851
Phone number: 917-825-0930
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Mailing Address
VEDALIE SOUVENANCE NP
1266 DEKOVEN ST
ROCKVILLE CENTRE, NY 11570-3402
Phone number: 917-825-0930
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