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1184186934
DOUGLAS RUDOLPH FARRELL
NEW YORK, NY
NPI
1184186934
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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
2019-04-02
Last Update Date
2019-04-04
Business Address
DOUGLAS RUDOLPH FARRELL
17 E 102ND ST
NEW YORK, NY 10029
Phone number: 212-659-8551
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Mailing Address
DOUGLAS RUDOLPH FARRELL
17 E 102ND ST
NEW YORK, NY 10029-5204
Phone number: 212-659-8551
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