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1750791992
SHINY EASO
JACKSON HEIGHTS, NY
NPI
1750791992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY F338214)
Enumeration Date
2014-04-28
Last Update Date
2014-06-26
Business Address
SHINY EASO N.P.
3435 70TH ST
JACKSON HEIGHTS, NY 11372-1055
Phone number: 718-651-9700
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Mailing Address
SHINY EASO N.P.
268 CLEARMEADOW DR
EAST MEADOW, NY 11554-1213
Phone number:
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