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1003328923
ILUMINADA LEGASPI
BRONX, NY
NPI
1003328923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: NY 430179)
Enumeration Date
2017-11-01
Last Update Date
2017-11-01
Business Address
ILUMINADA LEGASPI
1910 ARTHUR AVE
BRONX, NY 10457-6305
Phone number: 718-466-8961
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Mailing Address
ILUMINADA LEGASPI
1910 ARTHUR AVE
BRONX, NY 10457-6305
Phone number:
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