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1467842427
OLIVIA E. MANCILLA
BROOKLYN, NY
NPI
1467842427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 018327-1)
Enumeration Date
2015-01-29
Last Update Date
2015-01-29
Business Address
Mrs. OLIVIA E. MANCILLA P.A.
760 BROADWAY WOODHULL MEDICAL & MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Phone number: 718-963-8000
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Mailing Address
Mrs. OLIVIA E. MANCILLA P.A.
199 LAWRENCE AVENUE
INWOOD, NY 11096
Phone number:
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