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1669934840
BISMARCK GITENYI OSUMO
NEW HAVEN, CT
NPI
1669934840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT 1.078757)
Enumeration Date
2019-04-04
Last Update Date
2024-08-01
Business Address
BISMARCK GITENYI OSUMO
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
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Mailing Address
BISMARCK GITENYI OSUMO
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
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