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1306457171
SAMUEL K OSHO
STATEN ISLAND, NY
NPI
1306457171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NY 402360)
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
SAMUEL K OSHO
88 NEW DORP PLZ S STE 202
STATEN ISLAND, NY 10306-2902
Phone number: 917-846-0638
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Mailing Address
SAMUEL K OSHO
88 NEW DORP PLZ S STE 202
STATEN ISLAND, NY 10306-2902
Phone number: 917-846-0638
Copy
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