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1720769953
LATIEMA MERILUS
BROOKLYN, NY
NPI
1720769953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 405146)
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
-- LATIEMA MERILUS NP
937 FULTON ST
BROOKLYN, NY 11238-2347
Phone number: 718-260-2900
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Mailing Address
-- LATIEMA MERILUS NP
99 WALL ST STE 1571
NEW YORK, NY 10005-4301
Phone number: 646-420-7824
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