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1700914835
MARILYN MONIQUE DOUGLAS
NEW YORK, NY
NPI
1700914835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY f334986)
Enumeration Date
2007-03-01
Last Update Date
2020-08-20
Business Address
MARILYN MONIQUE DOUGLAS FNP
560 1ST AVE TISCH 16 EAST
NEW YORK, NY 10016-6402
Phone number: 212-263-5630
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Mailing Address
MARILYN MONIQUE DOUGLAS FNP
215 LORRAINE AVE
MOUNT VERNON, NY 10552-3702
Phone number: 914-924-2568
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