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1861121873
PRINCE UBA ACHOAKAWA
BELLPORT, NY
NPI
1861121873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 028455)
Enumeration Date
2022-06-06
Last Update Date
2022-07-16
Business Address
PRINCE UBA ACHOAKAWA
45 S VILLAGE DR
BELLPORT, NY 11713-1214
Phone number: 917-968-9607
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Mailing Address
PRINCE UBA ACHOAKAWA
45 S VILLAGE DR
BELLPORT, NY 11713-1214
Phone number: 917-968-9607
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