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1811398449
ALEXA RAY PREVOST
BRONX, NY
NPI
1811398449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 017970)
Enumeration Date
2014-09-15
Last Update Date
2014-09-15
Business Address
Ms. ALEXA RAY PREVOST
1400 PELHAM PKWY S
BRONX, NY 10461-1138
Phone number: 203-524-5906
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Mailing Address
Ms. ALEXA RAY PREVOST
18225 WEXFORD TER APARTMENT 314
JAMAICA, NY 11432-3140
Phone number: 203-524-5906
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