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1770601015
SHENGJIE MO
FLUSHING, NY
NPI
1770601015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 333972)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
-- SHENGJIE MO fnp
13663 41ST AVE
FLUSHING, NY 11355-2433
Phone number: 718-358-3858
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Mailing Address
-- SHENGJIE MO fnp
2266 E 22ND ST
BROOKLYN, NY 11229-4812
Phone number: 917-881-0690
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