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1821358714
CHRISTOPHER RIVERA LYNN-LOGUE
BROOKLYN, NY
NPI
1821358714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-05-24
Last Update Date
2012-05-24
Business Address
-- CHRISTOPHER RIVERA LYNN-LOGUE
2233 NOSTRAND AVE
BROOKLYN, NY 11210-3045
Phone number: 718-859-9760
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Mailing Address
-- CHRISTOPHER RIVERA LYNN-LOGUE
1296 BAY ST
STATEN ISLAND, NY 10305-3123
Phone number: 917-365-1906
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