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1124489398
OLIVER SANGCAP ILAO
NEW YORK, NY
NPI
1124489398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 306974)
Enumeration Date
2016-03-15
Last Update Date
2016-09-10
Business Address
Mr. OLIVER SANGCAP ILAO AGPCNP-BC, CCRN-CSC
ONE GUSTAVE L. LEVY PLACE
NEW YORK, NY 10029-6574
Phone number: 212-241-6500
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Mailing Address
Mr. OLIVER SANGCAP ILAO AGPCNP-BC, CCRN-CSC
9031 215TH PL
QUEENS VILLAGE, NY 11428-1229
Phone number: 718-740-2971
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