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1760959530
KISHA JEGEDE-GABBIDON
QUEENS VILLAGE, NY
NPI
1760959530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F338617-1)
Enumeration Date
2018-10-30
Last Update Date
2022-09-16
Business Address
KISHA JEGEDE-GABBIDON FNP-BC
11208 SPRINGFIELD BLVD
QUEENS VILLAGE, NY 11429-2650
Phone number: 929-430-3811
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Mailing Address
KISHA JEGEDE-GABBIDON FNP-BC
2417 JERICHO TPKE STE 279
GARDEN CITY PARK, NY 11040-4710
Phone number: 929-430-3811
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