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1003139023
LAWRENCE OLALERE FAWOLE
STATEN ISLAND, NY
NPI
1003139023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 290415-1)
Enumeration Date
2010-03-04
Last Update Date
2010-03-04
Business Address
Mr. LAWRENCE OLALERE FAWOLE LPN
47 ARLINGTON AVE BSMT
STATEN ISLAND, NY 10303-1601
Phone number: 718-442-1463
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Mailing Address
Mr. LAWRENCE OLALERE FAWOLE LPN
47 ARLINGTON AVE BSMT
STATEN ISLAND, NY 10303-1601
Phone number: 718-442-1463
Copy
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