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1316707409
JONATHAN JAMES LIGHT
ALBANY, NY
NPI
1316707409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY 64964)
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
JONATHAN JAMES LIGHT
43 NEW SCOTLAND AVE
ALBANY, NY 12208-3412
Phone number: 518-453-3079
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Mailing Address
JONATHAN JAMES LIGHT
43 NEW SCOTLAND AVE
ALBANY, NY 12208-3412
Phone number: 518-453-3079
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