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1467007005
JESIN SAMUEL
STATEN ISLAND, NY
NPI
1467007005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 669209)
Enumeration Date
2019-08-08
Last Update Date
2019-08-08
Business Address
JESIN SAMUEL
1216 BAY ST
STATEN ISLAND, NY 10305-3169
Phone number: 718-390-5142
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Mailing Address
JESIN SAMUEL
21 AMAZON CT
STATEN ISLAND, NY 10304-3729
Phone number: 718-974-3302
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