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1043622269
TAIRU TRERRA
BRONX, NY
NPI
1043622269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: NY 318466)
Enumeration Date
2014-05-22
Last Update Date
2014-05-22
Business Address
TAIRU TRERRA
1296 SHERIDAN AVE APT 3I
BRONX, NY 10456-1399
Phone number: 646-546-1431
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Mailing Address
TAIRU TRERRA
1296 SHERIDAN AVE APT 3I
BRONX, NY 10456-1399
Phone number: 646-546-1431
Copy
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