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1710270244
OLAMIDE IFATUSIN
STATEN ISLAND, NY
NPI
1710270244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 299566)
Enumeration Date
2011-05-17
Last Update Date
2011-05-17
Business Address
-- OLAMIDE IFATUSIN
26 DUMONT AVE
STATEN ISLAND, NY 10305
Phone number: 718-667-8510
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Mailing Address
-- OLAMIDE IFATUSIN
26 DUMONT AVE
STATEN ISLAND, NY 10305
Phone number: 718-667-8510
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