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1619294782
GAYLENE TANNIS
BROOKLYN, NY
NPI
1619294782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 005226)
Enumeration Date
2010-04-28
Last Update Date
2010-04-28
Business Address
Ms. GAYLENE TANNIS RPA-C
840 LEFFERTS AVE
BROOKLYN, NY 11203-1301
Phone number: 718-493-2780
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Mailing Address
Ms. GAYLENE TANNIS RPA-C
840 LEFFERTS AVE
BROOKLYN, NY 11203-1301
Phone number: 718-493-2780
Copy
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