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1407140767
SIMON MICHAEL FITZGERALD
BROOKLYN, NY
NPI
1407140767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY 12322090)
Enumeration Date
2011-06-04
Last Update Date
2011-06-04
Business Address
-- SIMON MICHAEL FITZGERALD MPH
450 CLARKSON AVE
BROOKLYN, NY 11203-2012
Phone number: 410-466-1713
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Mailing Address
-- SIMON MICHAEL FITZGERALD MPH
1817 SULGRAVE AVE
BALTIMORE, MD 21209-4515
Phone number: 410-466-1713
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