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1922152362
GRACE A DEJESUS
BRONX, NY
NPI
1922152362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 118814-1)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
-- GRACE A DEJESUS MD
100 W KINGSBRIDGE RD
BRONX, NY 10468-3903
Phone number: 718-410-1500
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Mailing Address
-- GRACE A DEJESUS MD
100 W KINGSBRIDGE RD
BRONX, NY 10468-3903
Phone number: 718-410-1500
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