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1780906974
MARIE KETTELINE PLANTIN
BRONX, NY
NPI
1780906974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 013117)
Enumeration Date
2010-02-16
Last Update Date
2013-09-23
Business Address
Mrs. MARIE KETTELINE PLANTIN
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-589-2440
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Mailing Address
Mrs. MARIE KETTELINE PLANTIN
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-589-2440
Copy
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