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1851857874
JACLYN INTERRANT
NEW YORK, NY
NPI
1851857874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 023686)
Enumeration Date
2019-02-14
Last Update Date
2020-01-26
Business Address
JACLYN INTERRANT
1468 MADISON AVE
NEW YORK, NY 10029-6508
Phone number: 347-978-2234
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Mailing Address
JACLYN INTERRANT
10 CONRAN CT
SAINT JAMES, NY 11780-2059
Phone number:
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