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1063756096
OLUSEGUN O OLUMUYIDE
BRONX, NY
NPI
1063756096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 3041081)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
Mr. OLUSEGUN O OLUMUYIDE LPN
2545 OLINVILLE AVE APT G
BRONX, NY 10467-7478
Phone number: 212-786-2564
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Mailing Address
Mr. OLUSEGUN O OLUMUYIDE LPN
2545 OLINVILLE AVE APT G
BRONX, NY 10467-7478
Phone number: 212-786-2564
Copy
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