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1619371341
GLENMORE WIGGAN
BRONX, NY
NPI
1619371341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: NY 015911-1)
Enumeration Date
2014-10-09
Last Update Date
2014-10-09
Business Address
-- GLENMORE WIGGAN OTR/L
3322 LURTING AVE
BRONX, NY 10469-3712
Phone number: 347-231-9516
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Mailing Address
-- GLENMORE WIGGAN OTR/L
3322 LURTING AVE
BRONX, NY 10469-3712
Phone number: 347-231-9516
Copy
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