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1548619653
SAMUEL EDWARD JAQUISH
NEW YORK, NY
NPI
1548619653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 671537)
Enumeration Date
2016-06-09
Last Update Date
2016-06-09
Business Address
-- SAMUEL EDWARD JAQUISH R.N.
631 E 11TH ST APARTMENT 6
NEW YORK, NY 10009-4112
Phone number: 916-412-0218
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Mailing Address
-- SAMUEL EDWARD JAQUISH R.N.
631 E 11TH ST APARTMENT 6
NEW YORK, NY 10009-4112
Phone number: 916-412-0218
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