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1558735035
STEVE BAZELAIS
JAMAICA, NY
NPI
1558735035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 323848-1)
Enumeration Date
2015-11-19
Last Update Date
2015-11-19
Business Address
Mr. STEVE BAZELAIS
16814 127TH AVE APT 3D
JAMAICA, NY 11434-3113
Phone number: 347-353-7572
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Mailing Address
Mr. STEVE BAZELAIS
16814 127TH AVE APT 3D
JAMAICA, NY 11434-3113
Phone number: 347-353-7572
Copy
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