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1578283941
SAMANTHA JADE QUEVEDO
BRONX, NY
NPI
1578283941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F310654)
Enumeration Date
2022-08-29
Last Update Date
2023-04-14
Business Address
SAMANTHA JADE QUEVEDO
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-583-7736
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Mailing Address
SAMANTHA JADE QUEVEDO
2626 HALPERIN AVE
BRONX, NY 10461-2631
Phone number: 718-618-0401
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