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1396338133
JEFFERSON SOLANO BACOLING
BRONX, NY
NPI
1396338133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 783556)
Enumeration Date
2021-02-12
Last Update Date
2021-02-12
Business Address
Mr. JEFFERSON SOLANO BACOLING
336 W 263RD ST
BRONX, NY 10471-1106
Phone number: 718-884-7800
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Mailing Address
Mr. JEFFERSON SOLANO BACOLING
336 W 263RD ST
BRONX, NY 10471-1106
Phone number: 718-884-7800
Copy
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