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Individual

MARIE JOE PROSPERE

Active
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Individual

MARIE JOE PROSPERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
N16102
NY
164W00000X
Licensed Practical Nurse
344199
NY
208D00000X
General Practice Physician
344199
NY

Other

Enumeration date
04/05/2023
Last updated
11/06/2025
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