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1952936700
ELMOL P DER
NEW YORK, NY
NPI
1952936700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 332584)
Enumeration Date
2020-03-11
Last Update Date
2020-03-11
Business Address
ELMOL P DER
10 W 119TH ST APT 7
NEW YORK, NY 10026-1447
Phone number: 646-621-1276
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Mailing Address
ELMOL P DER
10 W 119TH ST APT 7
NEW YORK, NY 10026-1447
Phone number:
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