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1699908715
IAN MEDRANO
BROOKLYN, NY
NPI
1699908715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY 335113)
Enumeration Date
2009-08-25
Last Update Date
2009-08-25
Business Address
IAN MEDRANO
4802 10TH AVE
BROOKLYN, NY 11219-2916
Phone number: 718-283-3000
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Mailing Address
IAN MEDRANO
103 PEBBLE BROOK DR
CLIFTON, NJ 07014-1740
Phone number:
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