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1790028090
SHAVONN CRYSTAL STALLINGS
NEW YORK, NY
NPI
1790028090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F305276-1)
Enumeration Date
2013-04-04
Last Update Date
2019-01-29
Business Address
SHAVONN CRYSTAL STALLINGS NP
1000 10TH AVE STE 1A-69
NEW YORK, NY 10019-1147
Phone number: 212-523-6424
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Mailing Address
SHAVONN CRYSTAL STALLINGS NP
1111 AMSTERDAM AVE SCRYMSER 3RD FLOOR
NEW YORK, NY 10025-1716
Phone number: 212-523-6500
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