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1760741540
SAMUEL OTENG BOADU
BRENTWOOD, NY
NPI
1760741540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 292151-1)
Enumeration Date
2012-05-14
Last Update Date
2012-05-14
Business Address
-- SAMUEL OTENG BOADU
124 WESTWOOD DR
BRENTWOOD, NY 11717-5720
Phone number: 631-704-9874
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Mailing Address
-- SAMUEL OTENG BOADU
124 WESTWOOD DR
BRENTWOOD, NY 11717-5720
Phone number: 631-704-9874
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