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1770219826
AWELE IDEMUDIA
STATEN ISLAND, NY
NPI
1770219826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WI0500X Registered Nurse Infusion Therapy
(Licence: NY 564012)
Enumeration Date
2022-07-29
Last Update Date
2022-07-29
Business Address
AWELE IDEMUDIA
26 DUMONT AVE
STATEN ISLAND, NY 10305-1450
Phone number: 718-667-4282
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Mailing Address
AWELE IDEMUDIA
117 S 13TH ST APT 2
NEWARK, NJ 07107-4238
Phone number: 347-866-4489
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