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1518983097
HIRA MARIE GAMALE PANTANOSAS
NEW YORK, NY
NPI
1518983097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NY F430035-01)
Enumeration Date
2006-07-15
Last Update Date
2022-08-24
Business Address
HIRA MARIE GAMALE PANTANOSAS NP
622 W 168TH ST PH 3-303
NEW YORK, NY 10032-3720
Phone number: 212-305-2677
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Mailing Address
HIRA MARIE GAMALE PANTANOSAS NP
4825 43RD ST APT 5J
WOODSIDE, NY 11377-6836
Phone number: 718-391-0095
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