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1205250545
LIBERTY OSA IZEVBUWA
STATEN ISLAND, NY
NPI
1205250545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-02-06
Last Update Date
2014-03-10
Business Address
Mr. LIBERTY OSA IZEVBUWA MSW
119 TOMPKINS AVE B-LEVEL
STATEN ISLAND, NY 10304-2601
Phone number: 646-385-2762
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Mailing Address
Mr. LIBERTY OSA IZEVBUWA MSW
119 TOMPKINS AVE B-LEVEL
STATEN ISLAND, NY 10304-2601
Phone number: 646-385-2762
Copy
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