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1467879429
MICHAEL MEDINA
BRONX, NY
NPI
1467879429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 311292)
Enumeration Date
2014-03-27
Last Update Date
2014-03-27
Business Address
-- MICHAEL MEDINA
1510 WATERS PL
BRONX, NY 10461-2700
Phone number: 718-829-3440
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Mailing Address
-- MICHAEL MEDINA
1510 WATERS PL
BRONX, NY 10461-2700
Phone number:
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