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1720294077
CORRINE JURGENS
PORT JEFFERSON, NY
NPI
1720294077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 096500)
Enumeration Date
2007-05-15
Last Update Date
2015-10-22
Business Address
-- CORRINE JURGENS
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
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Mailing Address
-- CORRINE JURGENS
625 BELLE TERRE RD SUITE 100
PORT JEFFERSON, NY 11777-2316
Phone number: 631-473-1320
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