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1891151536
MARYANNE FRASER
NEW YORK, NY
NPI
1891151536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 339029)
Enumeration Date
2016-01-11
Last Update Date
2016-01-11
Business Address
Miss MARYANNE FRASER
301 E 17TH ST
NEW YORK, NY 10003-3804
Phone number: 212-598-6000
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Mailing Address
Miss MARYANNE FRASER
2554 123RD ST
FLUSHING, NY 11354-1039
Phone number: 718-309-5249
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