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1508339284
MICHELLE JIMENEZ CHAN
FAR ROCKAWAY, NY
NPI
1508339284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NY 431408)
Enumeration Date
2019-01-06
Last Update Date
2019-01-06
Business Address
MICHELLE JIMENEZ CHAN
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number: 718-869-7755
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Mailing Address
MICHELLE JIMENEZ CHAN
2 GOLD ST APT 1514
NEW YORK, NY 10038-4847
Phone number: 321-482-7779
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