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1861226706
JESSICA LAINE
QUEENS VILLAGE, NY
NPI
1861226706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F35495801)
Enumeration Date
2024-08-30
Last Update Date
2024-08-30
Business Address
JESSICA LAINE FNP
11317 COLFAX ST
QUEENS VILLAGE, NY 11429-2218
Phone number: 347-886-3101
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Mailing Address
JESSICA LAINE FNP
11317 COLFAX ST
QUEENS VILLAGE, NY 11429-2218
Phone number: 347-886-3101
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