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1124609342
SANTROY ODANE SAMUELS
MIDDLETOWN, NY
NPI
1124609342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-19
Last Update Date
2022-04-14
Business Address
SANTROY ODANE SAMUELS DO
707 E MAIN ST
MIDDLETOWN, NY 10940-2650
Phone number: 845-333-1758
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Mailing Address
SANTROY ODANE SAMUELS DO
20900 BISCAYNE BLVD
AVENTURA, FL 33180-1495
Phone number: 305-692-3320
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