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1710990320
JOLLY G DAVID
MANHASSET, NY
NPI
1710990320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY F303589 / 397075)
Enumeration Date
2006-08-14
Last Update Date
2009-02-23
Business Address
JOLLY G DAVID NP
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number: 516-562-2620
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Mailing Address
JOLLY G DAVID NP
972 BRUSH HOLLOW RD
WESTBURY, NY 11590-1740
Phone number: 516-876-5555
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