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Individual

AGNES YEBOAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
80 MCCLELLAN ST, APT 4-P, BRONX, NY 10452-8641
(646) 327-1618
Mailing address
80 MCCLELLAN ST, APT 4-P, BRONX, NY 10452-8641
(646) 327-1618

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
607355
NY

Other

Enumeration date
02/23/2009
Last updated
02/23/2009
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