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1902127160
LAWRENCE ODUSANYA
STATEN ISLAND, NY
NPI
1902127160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 256310)
Enumeration Date
2010-06-22
Last Update Date
2010-06-22
Business Address
-- LAWRENCE ODUSANYA
54 DOREEN DR
STATEN ISLAND, NY 10303-2135
Phone number: 718-619-5090
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Mailing Address
-- LAWRENCE ODUSANYA
54 DOREEN DR
STATEN ISLAND, NY 10303-2135
Phone number: 718-619-5090
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