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1013209840
EULALIO FONTANEZ
BRONX, NY
NPI
1013209840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-05-12
Last Update Date
2011-05-12
Business Address
-- EULALIO FONTANEZ
3584 JEROME AVE
BRONX, NY 10467-1006
Phone number: 718-653-1537
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Mailing Address
-- EULALIO FONTANEZ
3584 JEROME AVE
BRONX, NY 10467-1006
Phone number: 718-653-1537
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