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1144423971
EBENEZER ENIN
SHIRLEY, NY
NPI
1144423971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 522482)
Enumeration Date
2007-06-08
Last Update Date
2007-07-08
Business Address
Mr. EBENEZER ENIN RN
67 PALMETTO DR
SHIRLEY, NY 11967-4126
Phone number: 631-772-8652
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Mailing Address
Mr. EBENEZER ENIN RN
67 PALMETTO DR
SHIRLEY, NY 11967-4126
Phone number: 631-772-8652
Copy
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