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1952567554
GRETTLE AGNES EVELYN
NEW YORK, NY
NPI
1952567554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F302171)
Enumeration Date
2008-08-03
Last Update Date
2008-08-03
Business Address
Ms. GRETTLE AGNES EVELYN NP
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029-6500
Phone number: 212-241-6400
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Mailing Address
Ms. GRETTLE AGNES EVELYN NP
2508 EDGEMERE AVE
FAR ROCKAWAY, NY 11691-2716
Phone number: 718-327-3205
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