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Individual
SAVIOUR K DATSOMOR
Active
Individual
SAVIOUR K DATSOMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
00000000
NY
363LF0000X
Family Nurse Practitioner
Primary
346933
NY
Other
Enumeration date
07/16/2014
Last updated
10/14/2021
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