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1417489832
ANTHONY JOHN WAVRIN
BRONX, NY
NPI
1417489832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-04-03
Last Update Date
2017-04-03
Business Address
-- ANTHONY JOHN WAVRIN
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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Mailing Address
-- ANTHONY JOHN WAVRIN
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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