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1669798583
ERTHA JETER
BROOKLYN, NY
NPI
1669798583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F305339-1)
Enumeration Date
2010-04-16
Last Update Date
2013-06-20
Business Address
-- ERTHA JETER NP
6209 16TH AVE
BROOKLYN, NY 11204-2702
Phone number: 718-234-0073
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Mailing Address
-- ERTHA JETER NP
540 E 22ND ST APT 1B
BROOKLYN, NY 11226-7265
Phone number: 718-859-5013
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