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1760738900
OLUFEMI FATUKASI
ELMONT, NY
NPI
1760738900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 274880-1)
Enumeration Date
2012-07-25
Last Update Date
2012-07-25
Business Address
Mr. OLUFEMI FATUKASI LPN
209 STEWART ST PH
ELMONT, NY 11003-2345
Phone number: 516-233-1186
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Mailing Address
Mr. OLUFEMI FATUKASI LPN
209 STEWART ST PH
ELMONT, NY 11003-2345
Phone number: 516-233-1186
Copy
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