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1720306350
RAIMOL JACOB
BRONX, NY
NPI
1720306350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F335357)
Enumeration Date
2010-05-06
Last Update Date
2010-05-06
Business Address
Ms. RAIMOL JACOB NP
2488 GRAND CONCOURSE 4TH FLOOR ROOM 424
BRONX, NY 10458-5203
Phone number: 212-695-5122
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Mailing Address
Ms. RAIMOL JACOB NP
61 MANORHAVEN BLVD
PORT WASHINGTON, NY 11050-1627
Phone number: 516-883-7100
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