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1427806900
DOMINIQUE BOURGELAIS
STATEN ISLAND, NY
NPI
1427806900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY 2023210664)
Enumeration Date
2024-05-09
Last Update Date
2024-05-10
Business Address
DOMINIQUE BOURGELAIS FNP-BC
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
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Mailing Address
DOMINIQUE BOURGELAIS FNP-BC
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
Copy
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