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1467069583
MA TERESA JUSTINE V BALBOA
NEW YORK, NY
NPI
1467069583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NY 431842)
Enumeration Date
2020-09-24
Last Update Date
2021-06-26
Business Address
MA TERESA JUSTINE V BALBOA AGACNP
1468 MADISON AVE
NEW YORK, NY 10029-6508
Phone number: 212-241-6500
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Mailing Address
MA TERESA JUSTINE V BALBOA AGACNP
1468 MADISON AVE
NEW YORK, NY 10029-6508
Phone number: 212-241-6500
Copy
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