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1508530197
SHANA KAY VENESA CAMPBELL
BRONX, NY
NPI
1508530197
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Former Name
SHANA KAY WITTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F342481)
Enumeration Date
2021-08-06
Last Update Date
2021-08-06
Business Address
SHANA KAY VENESA CAMPBELL
3055 WILSON AVE PH
BRONX, NY 10469-5104
Phone number: 347-882-3069
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Mailing Address
SHANA KAY VENESA CAMPBELL
3055 WILSON AVE PH
BRONX, NY 10469-5104
Phone number: 347-882-3069
Copy
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