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Individual

MR. JUMOL O'CONNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CFO, RN

Contact information

Practice address
692 E NEW YORK AVE, BROOKLYN, NY 11203-1202
(718) 363-8007
(718) 363-7676
Mailing address
692 E NEW YORK AVE, BROOKLYN, NY 11203-1202
(718) 363-8007
(718) 363-7676

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
09/03/2009
Last updated
09/04/2009
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