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1902004559
PHYLLIS ALEXANDRIA BAIN
BROOKLYN, NY
NPI
1902004559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY f420296)
Enumeration Date
2007-07-05
Last Update Date
2007-07-08
Business Address
Mrs. PHYLLIS ALEXANDRIA BAIN N.P.
451 CLARKSON AVE BUILDING E
BROOKLYN, NY 11203-2057
Phone number: 718-245-3267
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Mailing Address
Mrs. PHYLLIS ALEXANDRIA BAIN N.P.
1719 NEWKIRK AVE
BROOKLYN, NY 11226-6613
Phone number: 718-469-0416
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