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Individual
JERRY T ROY
Active
Individual
JERRY T ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
836464
NY
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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