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1356646368
ELVIS EKOHLUTORMI IDUSERI
BRONX, NY
NPI
1356646368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 250321-1)
Enumeration Date
2011-01-22
Last Update Date
2011-01-22
Business Address
Mr. ELVIS EKOHLUTORMI IDUSERI LPN
1914 ADEE AVE PH
BRONX, NY 10469-3222
Phone number: 718-309-4987
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Mailing Address
Mr. ELVIS EKOHLUTORMI IDUSERI LPN
1914 ADEE AVE PH
BRONX, NY 10469-3222
Phone number: 718-309-4987
Copy
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