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Individual
YORDANOS MATHEWOS
Active
Individual
YORDANOS MATHEWOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312548-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312548
LPN LICENCE
NY
Enumeration date
08/04/2014
Last updated
08/04/2014
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