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1114302809
ISSA BAH
STATEN ISLAND, NY
NPI
1114302809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 291999-1)
Enumeration Date
2015-07-23
Last Update Date
2015-07-23
Business Address
Mr. ISSA BAH
800 VICTORY BLVD APT 5W
STATEN ISLAND, NY 10301-3721
Phone number: 347-898-0528
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Mailing Address
Mr. ISSA BAH
800 VICTORY BLVD APT 5W
STATEN ISLAND, NY 10301-3721
Phone number: 347-898-0528
Copy
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