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1710232798
FUNMILOLA AZEEZAT KOLAWOLE
STATEN ISLAND, NY
NPI
1710232798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 3059521)
Enumeration Date
2012-07-17
Last Update Date
2012-07-17
Business Address
-- FUNMILOLA AZEEZAT KOLAWOLE lpn
85 LOCKMAN AV
STATEN ISLAND, NY 10303
Phone number: 347-666-0278
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Mailing Address
-- FUNMILOLA AZEEZAT KOLAWOLE lpn
85 LOCKMAN AVE
STATEN ISLAND, NY 10303-2022
Phone number: 347-666-0278
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