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1942898457
SHONETTE O KINGSTON
NEW YORK, NY
NPI
1942898457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NY 346997)
Enumeration Date
2021-01-10
Last Update Date
2021-01-10
Business Address
SHONETTE O KINGSTON
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-2415
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Mailing Address
SHONETTE O KINGSTON
350 LENOX RD APT 1C
BROOKLYN, NY 11226-2223
Phone number: 917-287-8294
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