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1639444664
OMOIKE IDAHOSA
BRONX, NY
NPI
1639444664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 284261-1)
Enumeration Date
2012-03-08
Last Update Date
2012-03-08
Business Address
Mr. OMOIKE IDAHOSA LPN
1118 INTERVALE AVE APT. 7H
BRONX, NY 10459-1199
Phone number: 347-498-1608
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Mailing Address
Mr. OMOIKE IDAHOSA LPN
1118 INTERVALE AVE APT. 7H
BRONX, NY 10459-1199
Phone number: 347-498-1608
Copy
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