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1154771822
OLAJUMOKE FASAN
JAMAICA, NY
NPI
1154771822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 276332)
Enumeration Date
2016-06-14
Last Update Date
2016-06-14
Business Address
-- OLAJUMOKE FASAN
12011 144TH ST
JAMAICA, NY 11436-1508
Phone number: 718-551-6838
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Mailing Address
-- OLAJUMOKE FASAN
12011 144TH ST
JAMAICA, NY 11436-1508
Phone number:
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