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1750611554
BENSON ODULLA
EAST ORANGE, NJ
NPI
1750611554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NJ 26NP05905500)
Enumeration Date
2009-12-30
Last Update Date
2009-12-30
Business Address
-- BENSON ODULLA LPN
50 N MUNN AVE APT 5
EAST ORANGE, NJ 07017-4151
Phone number: 800-950-6066
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Mailing Address
-- BENSON ODULLA LPN
50 N MUNN AVE APT 5
EAST ORANGE, NJ 07017-4151
Phone number: 800-950-6066
Copy
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