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1366774713
OLUSEGUN FAMODIMU
JAMAICA, NY
NPI
1366774713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 591039)
Enumeration Date
2010-02-10
Last Update Date
2010-02-10
Business Address
OLUSEGUN FAMODIMU
16937 144TH RD SWEET P HOME CARE
JAMAICA, NY 11434-5929
Phone number: 718-978-7221
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Mailing Address
OLUSEGUN FAMODIMU
703 JEFFERSON ST
WESTBURY, NY 11590-3448
Phone number: 516-439-1099
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