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Individual

BINTA WAGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3673 THIRD AVE APT 3G, BRONX, NY 10456-2134
(917) 783-4245
Mailing address
3673 THIRD AVE APT 3G, BRONX, NY 10456-2134
(917) 783-4245

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
706806-1
NY

Other

Enumeration date
10/12/2017
Last updated
10/12/2017
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