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1932449162
JESSICA SANTOS PACANNUAYAN
NEW YORK, NY
NPI
1932449162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 401561)
Enumeration Date
2013-02-25
Last Update Date
2014-03-28
Business Address
-- JESSICA SANTOS PACANNUAYAN
121A WEST 20TH STREET
NEW YORK, NY 10011
Phone number: 212-337-9284
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Mailing Address
-- JESSICA SANTOS PACANNUAYAN
2815 33RD ST APT. 1R
ASTORIA, NY 11102-1379
Phone number:
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