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1891347167
LATASHA DAVIS
BRONX, NY
NPI
1891347167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F344798)
Enumeration Date
2019-07-16
Last Update Date
2019-07-16
Business Address
Miss LATASHA DAVIS
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7295
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Mailing Address
Miss LATASHA DAVIS
3198 GRAND CONCOURSE
BRONX, NY 10458-1000
Phone number: 718-618-0401
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