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1730851957
MA LEAH DEGALA RETOME
BRONX, NY
NPI
1730851957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 348574)
Enumeration Date
2021-10-05
Last Update Date
2021-10-05
Business Address
MA LEAH DEGALA RETOME FNP
3332 ROCHAMBEAU AVE STE C
BRONX, NY 10467-2836
Phone number: 718-920-6311
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Mailing Address
MA LEAH DEGALA RETOME FNP
3332 ROCHAMBEAU AVE FL 1
BRONX, NY 10467-2836
Phone number: 718-920-6311
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