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Individual

MS. CHRISTINE CHARMING MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9777 QUEENS BLVD, REGO PARK, NY 11374-3335
(718) 830-9274
Mailing address
13511 230TH ST, LAURELTON, NY 11413-2529
(347) 548-4872

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
678970
NY

Other

Enumeration date
06/07/2012
Last updated
06/07/2012
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