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1730552456
MARIAMA S FOFANA
BRONX, NY
NPI
1730552456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 3067831)
Enumeration Date
2015-11-03
Last Update Date
2015-11-03
Business Address
Ms. MARIAMA S FOFANA LPN
630 CONCORD AVE APT 2G
BRONX, NY 10455-3101
Phone number: 646-240-1913
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Mailing Address
Ms. MARIAMA S FOFANA LPN
630 CONCORD AVE APT 2G
BRONX, NY 10455-3101
Phone number: 646-240-1913
Copy
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