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1194024273
MARCUS FAIRCLOUGH
BRONX, NY
NPI
1194024273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 304345)
Enumeration Date
2011-03-15
Last Update Date
2011-03-15
Business Address
-- MARCUS FAIRCLOUGH LPN
2995 BOTANICAL SQ APT-3R
BRONX, NY 10458-2429
Phone number: 718-671-2100
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Mailing Address
-- MARCUS FAIRCLOUGH LPN
2995 BOTANICAL SQ APT-3R
BRONX, NY 10458-2429
Phone number: 718-671-2100
Copy
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