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1952453912
SAMSON ITIETIE
NEW YORK, NY
NPI
1952453912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NY 435325-1)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
MR. SAMSON ITIETIE CRNA
506 MALCOLM X BLVD
NEW YORK, NY 10037-1802
Phone number: 212-939-3550
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Mailing Address
MR. SAMSON ITIETIE CRNA
1154 ROSSE AVE
NEW MILFORD, NJ 07646-3230
Phone number: 201-530-1686
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