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1407177751
DWAYNE BATHER
BRONX, NY
NPI
1407177751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 625485-1)
Enumeration Date
2010-06-21
Last Update Date
2010-06-21
Business Address
-- DWAYNE BATHER
4318 MATILDA AVE
BRONX, NY 10466-1315
Phone number: 718-496-0254
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Mailing Address
-- DWAYNE BATHER
4318 MATILDA AVE
BRONX, NY 10466-1315
Phone number: 718-496-0254
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