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1265771695
OLUWADARE FADURI
BRONX, NY
NPI
1265771695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 312731)
Enumeration Date
2013-02-05
Last Update Date
2013-02-05
Business Address
-- OLUWADARE FADURI LPN
2054 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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Mailing Address
-- OLUWADARE FADURI LPN
2054 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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