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Individual

ANGELA OUTERBRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
16318 JAMAICA AVE, 5TH FLOOR, JAMAICA, NY 11432-4919
(718) 291-4599
Mailing address
163-18 JAMAICA AVE., 5TH FLOOR, POSTGRADUATE CENTER FOR MENTAL HEALTH, JAMAICA, NY 11432-4919
(718) 291-4599

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
451315
NY

Other

Enumeration date
01/27/2015
Last updated
01/27/2015
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