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1871783167
LUCKY IYENGUNMWENA
BRONX, NY
NPI
1871783167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 572839-1)
Enumeration Date
2007-08-01
Last Update Date
2007-08-01
Business Address
-- LUCKY IYENGUNMWENA RN
1967 TURNBULL AVE
BRONX, NY 10473-2519
Phone number: 718-842-1400
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Mailing Address
-- LUCKY IYENGUNMWENA RN
2527 GLEBE AVE
BRONX, NY 10461-3109
Phone number: 718-904-4400
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