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1073082699
MARVIN CHRISTOPHER BANZON
BAYSIDE, NY
NPI
1073082699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 333430-1)
Enumeration Date
2018-11-14
Last Update Date
2018-11-14
Business Address
Mr. MARVIN CHRISTOPHER BANZON
22215 NORTHERN BLVD
BAYSIDE, NY 11361-3678
Phone number: 718-225-1414
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Mailing Address
Mr. MARVIN CHRISTOPHER BANZON
7543 197TH ST
FLUSHING, NY 11366-1816
Phone number: 718-219-6036
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