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1689933095
JESSICA IVONNE FUENTES
BRONX, NY
NPI
1689933095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 015588)
Enumeration Date
2012-05-07
Last Update Date
2012-05-07
Business Address
Mrs. JESSICA IVONNE FUENTES P.A.
2590 FRISBY AVE
BRONX, NY 10461-3240
Phone number: 718-409-9400
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Mailing Address
Mrs. JESSICA IVONNE FUENTES P.A.
8934 221ST ST
QUEENS VILLAGE, NY 11427-2508
Phone number: 914-607-2020
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