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1487419149
JASON T EPHRAIM
BAYSIDE, NY
NPI
1487419149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 923967)
Enumeration Date
2024-02-20
Last Update Date
2024-02-20
Business Address
JASON T EPHRAIM RN
22215 NORTHERN BLVD
BAYSIDE, NY 11361-3678
Phone number: 631-690-5155
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Mailing Address
JASON T EPHRAIM RN
11045 QUEENS BLVD APT 714
FOREST HILLS, NY 11375-5504
Phone number: 347-558-1661
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