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1427490671
JAHID SHABAZZ
BRONX, NY
NPI
1427490671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 314739)
Enumeration Date
2013-07-29
Last Update Date
2013-07-29
Business Address
-- JAHID SHABAZZ
2050 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2169
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Mailing Address
-- JAHID SHABAZZ
2050 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2169
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