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Individual

BRENDA DEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3004 146TH ST, FLUSHING, NY 11354-2324
(728) 172-5637
Mailing address
3004 146TH ST, FLUSHING, NY 11354-2324

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
08/15/2019
Last updated
08/15/2019
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