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1083085302
SAMUEL MARTIN
BRONX, NY
NPI
1083085302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 277824)
Enumeration Date
2015-10-13
Last Update Date
2015-10-13
Business Address
-- SAMUEL MARTIN
2052 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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Mailing Address
-- SAMUEL MARTIN
2052 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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