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1699231704
CLARISSA ANN SWAN
STONY BROOK, NY
NPI
1699231704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F308908-1)
Enumeration Date
2019-02-13
Last Update Date
2019-03-22
Business Address
CLARISSA ANN SWAN
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-689-8333
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Mailing Address
CLARISSA ANN SWAN
19801 100TH AVE
HOLLIS, NY 11423-3315
Phone number:
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