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1871676353
GRACE MROZ
PATCHOGUE, NY
NPI
1871676353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 400668)
Enumeration Date
2006-10-20
Last Update Date
2018-02-21
Business Address
GRACE MROZ NPP
450 WAVERLY AVE BUILDING 4 SUITE 11
PATCHOGUE, NY 11772-1555
Phone number: 631-730-7503
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Mailing Address
GRACE MROZ NPP
450 WAVERLY AVE BUILDING 4 SUITE 11
PATCHOGUE, NY 11772-1555
Phone number: 631-730-7503
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