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1588021513
ROOTHCHILD ST GERMAIN
BROOKLYN, NY
NPI
1588021513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: NY 676482-1)
Enumeration Date
2016-01-21
Last Update Date
2016-01-21
Business Address
-- ROOTHCHILD ST GERMAIN
270 CROWN ST
BROOKLYN, NY 11225-2356
Phone number: 347-461-8366
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Mailing Address
-- ROOTHCHILD ST GERMAIN
270 CROWN ST
BROOKLYN, NY 11225-2356
Phone number: 347-461-8366
Copy
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