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1467729657
DEBRA MARIE MANN
PORT JEFFERSON STATION, NY
NPI
1467729657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F305820-1)
Enumeration Date
2011-11-16
Last Update Date
2011-11-16
Business Address
-- DEBRA MARIE MANN ANP
5360 NESCONSET HWY SUITE B
PORT JEFFERSON STATION, NY 11776-2018
Phone number: 631-331-3200
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Mailing Address
-- DEBRA MARIE MANN ANP
887 FORT SALONGA RD
NORTHPORT, NY 11768-2253
Phone number:
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