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Individual

CHANTELLE A FRASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
632 E 83RD ST, BROOKLYN, NY 11236-3557
(917) 515-9481
Mailing address
632 E 83RD ST, BROOKLYN, NY 11236-3557
(917) 515-9481

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
796172
NY

Other

Enumeration date
09/03/2020
Last updated
09/03/2020
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