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1023654696
ENEAS SOARES
BRONX, NY
NPI
1023654696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 747028)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
ENEAS SOARES RN, CCM, BSN
871 PROSPECT AVE
BRONX, NY 10459-3913
Phone number: 646-660-0249
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Mailing Address
ENEAS SOARES RN, CCM, BSN
871 PROSPECT AVE
BRONX, NY 10459-3913
Phone number: 646-660-0249
Copy
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