MARCUS FAIRCLOUGH

BRONX, NY
NPI1194024273
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  304345)
Enumeration Date2011-03-15
Last Update Date2011-03-15
Business Address
MARCUS FAIRCLOUGH LPN
2995 BOTANICAL SQ APT-3R
BRONX, NY 10458-2429
Phone number: 718-671-2100
Mailing Address
MARCUS FAIRCLOUGH LPN
2995 BOTANICAL SQ APT-3R
BRONX, NY 10458-2429
Phone number: 718-671-2100
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