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1235144049
TAWAI GBOLLIE
BRONX, NY
NPI
1235144049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 009204)
Enumeration Date
2006-07-30
Last Update Date
2007-07-08
Business Address
-- TAWAI GBOLLIE
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-589-2440
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Mailing Address
-- TAWAI GBOLLIE
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-589-2440
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