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1205521879
OSCAR IVAN DE LA ROSA ALBA
BRONX, NY
NPI
1205521879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
OSCAR IVAN DE LA ROSA ALBA
234 E 149TH ST STE 420
BRONX, NY 10451-5504
Phone number: 718-579-5030
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Mailing Address
OSCAR IVAN DE LA ROSA ALBA
234 E 149TH ST # 4-20
BRONX, NY 10451-5504
Phone number: 718-579-5030
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