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1841568367
NAGAMBAWA BANTON
BRONX, NY
NPI
1841568367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 307191-1)
Enumeration Date
2011-12-12
Last Update Date
2011-12-12
Business Address
-- NAGAMBAWA BANTON LPN
1706 NEREID AVE
BRONX, NY 10466-1212
Phone number: 914-498-1177
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Mailing Address
-- NAGAMBAWA BANTON LPN
1706 NEREID AVE
BRONX, NY 10466-1212
Phone number:
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