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Individual
MARK ANTHONY FAMOR
Active
Individual
MARK ANTHONY FAMOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
770329
NY
163WE0003X
Emergency Registered Nurse
770329
NY
163WS0200X
School Registered Nurse
770329
NY
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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