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1710524020
SHAKA LUNCHEON
BROOKLYN, NY
NPI
1710524020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 337061)
Enumeration Date
2019-12-05
Last Update Date
2019-12-05
Business Address
SHAKA LUNCHEON LPN
89 BARTLETT ST
BROOKLYN, NY 11206-4463
Phone number: 718-828-2666
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Mailing Address
SHAKA LUNCHEON LPN
817 GREENE AVE APT 1
BROOKLYN, NY 11221-6202
Phone number: 580-215-8100
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