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Individual
MR. OMODELLE FITZHERBERT CRUM-EWING
Active
Individual
MR. OMODELLE FITZHERBERT CRUM-EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN (BSN)
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
535857
NY
163WS0200X
School Registered Nurse
Primary
535857
NY
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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