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1932540598
EMMANUEL BODOM
BRONX, NY
NPI
1932540598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 669994)
Enumeration Date
2013-07-11
Last Update Date
2013-12-12
Business Address
-- EMMANUEL BODOM
2052 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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Mailing Address
-- EMMANUEL BODOM
2052 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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