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Individual
MISS KASIEMOBI CHUKWUKA
Active
Individual
MISS KASIEMOBI CHUKWUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
329682
NY
164X00000X
Licensed Vocational Nurse
329682
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329682
OTHER
NY
Enumeration date
08/24/2017
Last updated
08/24/2017
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