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1730795956
LATISHA POWELL
BRONX, NY
NPI
1730795956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 345686)
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
LATISHA POWELL
600 E 233RD ST
BRONX, NY 10466-2604
Phone number: 718-920-9000
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Mailing Address
LATISHA POWELL
3531 GRACE AVE
BRONX, NY 10466-5816
Phone number: 347-264-1044
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