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1548389075
JILL ANN DOUGLAS
STONY BROOK, NY
NPI
1548389075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F332162)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
-- JILL ANN DOUGLAS NP
STONY BROOK UNIVERSITY MEDICAL CTR HSC T-15 RM080
STONY BROOK, NY 11794-8153
Phone number: 631-444-4793
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Mailing Address
-- JILL ANN DOUGLAS NP
308 GIBBS POND RD
NESCONSET, NY 11767-2200
Phone number: 631-444-4793
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