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1093006801
EDWARD JOHN CHISHOLM
BRONX, NY
NPI
1093006801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 297468-1)
Enumeration Date
2011-04-27
Last Update Date
2011-04-27
Business Address
-- EDWARD JOHN CHISHOLM
2605 BAINBRIDGE AVE
BRONX, NY 10458-4615
Phone number: 646-648-7150
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Mailing Address
-- EDWARD JOHN CHISHOLM
2605 BAINBRIDGE AVE
BRONX, NY 10458-4615
Phone number: 646-648-7150
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