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1871110387
IFEANYI EZERENDU MUOKA
BRONX, NY
NPI
1871110387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1000064)
Enumeration Date
2020-06-30
Last Update Date
2020-06-30
Business Address
IFEANYI EZERENDU MUOKA NP
1778 JEROME AVE
BRONX, NY 10453-5708
Phone number: 718-583-3300
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Mailing Address
IFEANYI EZERENDU MUOKA NP
1778 JEROME AVE
BRONX, NY 10453-5708
Phone number: 718-583-3300
Copy
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