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1821508995
SHANIL BAHADUR
VALLEY STREAM, NY
NPI
1821508995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 313191)
Enumeration Date
2017-10-03
Last Update Date
2017-10-03
Business Address
SHANIL BAHADUR
39 IVANHOE PL
VALLEY STREAM, NY 11580-2901
Phone number: 516-503-2089
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Mailing Address
SHANIL BAHADUR
39 IVANHOE PL
VALLEY STREAM, NY 11580-2901
Phone number: 516-503-2089
Copy
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