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1962057596
DIANA KRAVTSOV
KINGSTON, NY
NPI
1962057596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F343979)
Enumeration Date
2019-08-09
Last Update Date
2019-08-09
Business Address
DIANA KRAVTSOV FNP
211 HURLEY AVE
KINGSTON, NY 12401-2400
Phone number: 845-339-2804
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Mailing Address
DIANA KRAVTSOV FNP
211 HURLEY AVE
KINGSTON, NY 12401-2400
Phone number: 845-340-1185
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