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1467546317
VADEWATTIE MANGRU
JAMAICA, NY
NPI
1467546317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NY F331468)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
Ms. VADEWATTIE MANGRU NP
82-68 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3225
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Mailing Address
Ms. VADEWATTIE MANGRU NP
79-01 BROADWAY D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1920
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