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Individual

PATRICE JEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
62 PARK PL, BROOKLYN, NY 11217-3208
(718) 398-1536
Mailing address
1339 E 59TH ST, BROOKLYN, NY 11234-4123
(718) 398-1536

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
595373
NY

Other

Enumeration date
03/13/2012
Last updated
03/13/2012
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