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1942673660
JORGE URQUIZO
CORAM, NY
NPI
1942673660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 323816-1)
Enumeration Date
2015-11-03
Last Update Date
2015-11-03
Business Address
JORGE URQUIZO LPN
28 NAVAJO CT
CORAM, NY 11727-1516
Phone number: 631-681-7392
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Mailing Address
JORGE URQUIZO LPN
28 NAVAJO CT
CORAM, NY 11727-1516
Phone number: 631-681-7392
Copy
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