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1700092913
JESSICA SUZANNE KOHOUTEK
LONG ISLAND CITY, NY
NPI
1700092913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY F381673)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
Ms. JESSICA SUZANNE KOHOUTEK CPNP, RN
1143 47TH AVE
LONG ISLAND CITY, NY 11101-5418
Phone number: 718-551-3515
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Mailing Address
Ms. JESSICA SUZANNE KOHOUTEK CPNP, RN
205 E 73RD ST APT 12A
NEW YORK, NY 10021-3669
Phone number: 212-439-9722
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