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1942822507
BUSIME MIMY MUDEKEREZA
NEW YORK, NY
NPI
1942822507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F344790-01)
Enumeration Date
2020-05-17
Last Update Date
2020-05-17
Business Address
Mrs. BUSIME MIMY MUDEKEREZA NP
1885 ADAM CLAYTON POWELL JR BLVD APT 2C
NEW YORK, NY 10026-2892
Phone number: 212-795-0529
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Mailing Address
Mrs. BUSIME MIMY MUDEKEREZA NP
1885 ADAM CLAYTON POWELL JR BLVD APT 2C
NEW YORK, NY 10026-2892
Phone number:
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