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1467960294
CHRISTIAN ROUTH
STONY BROOK, NY
NPI
1467960294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NY 308297)
Enumeration Date
2018-01-15
Last Update Date
2018-01-15
Business Address
CHRISTIAN ROUTH MSN, AGNP-C
VASCULAR SURGERY HSC T19-090
STONY BROOK, NY 11794-8191
Phone number: 631-444-2037
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Mailing Address
CHRISTIAN ROUTH MSN, AGNP-C
155 DIVISION AVE
WEST SAYVILLE, NY 11796-1313
Phone number:
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