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1972053601
CRYSTAL KIMBERLY SANTOSA
FLUSHING, NY
NPI
1972053601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 020151)
Enumeration Date
2016-10-05
Last Update Date
2016-10-05
Business Address
CRYSTAL KIMBERLY SANTOSA
13620 38TH AVE STE 7D
FLUSHING, NY 11354-4232
Phone number: 718-539-2506
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Mailing Address
CRYSTAL KIMBERLY SANTOSA
420 W 42ND ST APT 19D
NEW YORK, NY 10036-6846
Phone number: 646-266-3107
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