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1629425228
JOSE WILMER TENESACA
DANBURY, CT
NPI
1629425228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 286723-1)
Enumeration Date
2016-05-24
Last Update Date
2016-05-24
Business Address
Mr. JOSE WILMER TENESACA L.P.N
38 LAKE AVE
DANBURY, CT 06810-6345
Phone number: 203-512-9681
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Mailing Address
Mr. JOSE WILMER TENESACA L.P.N
38 LAKE AVE
DANBURY, CT 06810-6345
Phone number: 203-512-9681
Copy
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