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1508934514
SAUNDRA LUCINDA CHISOLM
FAR ROCKAWAY, NY
NPI
1508934514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F301912-1)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
Mrs. SAUNDRA LUCINDA CHISOLM NP
327 BEACH 19TH STREET
FAR ROCKAWAY, NY 11691
Phone number: 718-869-7224
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Mailing Address
Mrs. SAUNDRA LUCINDA CHISOLM NP
254 PENNSYLVANIA AVE
FREEPORT, NY 11520-1329
Phone number: 515-378-3224
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