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1770666117
BRENDA LYNN JANOTHA
SMITHTOWN, NY
NPI
1770666117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F302705-1)
Enumeration Date
2006-10-21
Last Update Date
2007-07-08
Business Address
-- BRENDA LYNN JANOTHA
994 W JERICHO TPKE SUITE 201
SMITHTOWN, NY 11787-3235
Phone number: 631-864-4499
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Mailing Address
-- BRENDA LYNN JANOTHA
3392 LUFBERRY AVE
WANTAGH, NY 11793-3006
Phone number: 516-781-6512
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