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1992186019
LECIA CHRISTINE GANNON
VALHALLA, NY
NPI
1992186019
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Professional Name
LECIA CHRISTINE GANNON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F339702-1)
Enumeration Date
2015-06-15
Last Update Date
2020-02-27
Business Address
LECIA CHRISTINE GANNON FNP
100 WOODS RD
VALHALLA, NY 10595-1530
Phone number: 914-493-1177
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Mailing Address
LECIA CHRISTINE GANNON FNP
100 WOODS RD
VALHALLA, NY 10595-1530
Phone number: 914-493-1177
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