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1063846566
RUSSELL VITOS MOONEY
BRONX, NY
NPI
1063846566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 315275)
Enumeration Date
2013-09-03
Last Update Date
2013-09-03
Business Address
-- RUSSELL VITOS MOONEY
2052 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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Mailing Address
-- RUSSELL VITOS MOONEY
2052 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
Copy
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