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1154615920
LACINE OUATTARA
STATEN ISLAND, NY
NPI
1154615920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 642049)
Enumeration Date
2011-06-08
Last Update Date
2015-03-26
Business Address
Mr. LACINE OUATTARA RN
468 VAN DUZER ST APT C4
STATEN ISLAND, NY 10304-2082
Phone number: 646-709-8294
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Mailing Address
Mr. LACINE OUATTARA RN
468 VAN DUZER STREET APT# C4
STATEN ISLAND, NY 10304
Phone number: 646-709-8294
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