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1598082091
OLUSEGUN J BOSEDE
CENTRAL ISLIP, NY
NPI
1598082091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 290933-1)
Enumeration Date
2010-04-23
Last Update Date
2010-04-23
Business Address
Mr. OLUSEGUN J BOSEDE LPN
217 HAWTHORNE AVE APT 8
CENTRAL ISLIP, NY 11722-1306
Phone number: 347-891-5231
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Mailing Address
Mr. OLUSEGUN J BOSEDE LPN
217 HAWTHORNE AVE
CENTRAL ISLIP, NY 11722-1306
Phone number: 347-891-5231
Copy
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