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1215496732
MODUPE MOJISOLA OLISA
STATEN ISLAND, NY
NPI
1215496732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 460861)
Enumeration Date
2019-03-14
Last Update Date
2019-03-14
Business Address
MODUPE MOJISOLA OLISA RN
1477 HYLAN BLVD
STATEN ISLAND, NY 10305-1906
Phone number: 718-979-6900
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Mailing Address
MODUPE MOJISOLA OLISA RN
322 DAVIS AVE
STATEN ISLAND, NY 10310-1548
Phone number: 646-431-6684
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