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1780387266
SHANE VINCENT MCNAMARA
STATEN ISLAND, NY
NPI
1780387266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-23
Last Update Date
2023-03-23
Business Address
SHANE VINCENT MCNAMARA
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-8313
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Mailing Address
SHANE VINCENT MCNAMARA
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number:
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