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1003280074
ORLANDO BRIDGE
BRONX, NY
NPI
1003280074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 708958)
Enumeration Date
2015-11-13
Last Update Date
2015-11-13
Business Address
-- ORLANDO BRIDGE
665 ADEE AVE FL 1
BRONX, NY 10467-6802
Phone number: 917-488-7587
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Mailing Address
-- ORLANDO BRIDGE
665 ADEE AVE FL 1
BRONX, NY 10467-6802
Phone number: 917-488-7587
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