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1699078584
STEPHEN JAMES CZACHOR
CORAM, NY
NPI
1699078584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 303741)
Enumeration Date
2010-12-15
Last Update Date
2010-12-15
Business Address
-- STEPHEN JAMES CZACHOR
4 NORFOLK CT
CORAM, NY 11727-1636
Phone number: 631-949-0799
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Mailing Address
-- STEPHEN JAMES CZACHOR
4 NORFOLK CT
CORAM, NY 11727-1636
Phone number: 631-949-0799
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