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1326617036
VLADEMIR CARMEL SIMON
MEDFORD, NY
NPI
1326617036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 655816)
Enumeration Date
2021-06-18
Last Update Date
2021-06-18
Business Address
VLADEMIR CARMEL SIMON
6 LOCUST AVE N
MEDFORD, NY 11763-1604
Phone number: 215-303-6284
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Mailing Address
VLADEMIR CARMEL SIMON
6 LOCUST AVE N
MEDFORD, NY 11763-1604
Phone number: 215-303-6284
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