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1942531132
SAMUEL R MICKENS
BROOKLYN, NY
NPI
1942531132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: NY 569459-1)
Enumeration Date
2010-01-27
Last Update Date
2010-01-27
Business Address
-- SAMUEL R MICKENS RN
175 REMSEN ST FL 10
BROOKLYN, NY 11201-4300
Phone number: 718-852-5552
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Mailing Address
-- SAMUEL R MICKENS RN
175 REMSEN ST FL 10
BROOKLYN, NY 11201-4300
Phone number: 718-852-5552
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