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1265890149
ANTHONY DESOUZA
BUFFALO, NY
NPI
1265890149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 340092)
Enumeration Date
2016-02-05
Last Update Date
2016-02-05
Business Address
-- ANTHONY DESOUZA
462 GRIDER ST
BUFFALO, NY 14215-3021
Phone number: 212-810-9755
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Mailing Address
-- ANTHONY DESOUZA
HOUSE NUMBER 416 BAMON BHATT
MERCES, GOA 403005
Phone number: 212-810-9755
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