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1528466976
THERESA DAVIS
BROOKLYN, NY
NPI
1528466976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NY F304063)
Enumeration Date
2014-12-17
Last Update Date
2014-12-17
Business Address
THERESA DAVIS NP
444 12TH ST # 1D2D
BROOKLYN, NY 11215-8208
Phone number: 718-965-4101
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Mailing Address
THERESA DAVIS NP
444 12TH ST # 1D2D
BROOKLYN, NY 11215-8208
Phone number: 718-965-4101
Copy
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