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1013557263
DENEACER MASSOP
COVINGTON, GA
NPI
1013557263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-01-15
Last Update Date
2020-01-15
Business Address
DENEACER MASSOP
80 BRANDON DR
COVINGTON, GA 30016-3333
Phone number: 718-807-5430
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Mailing Address
DENEACER MASSOP
8038 211TH ST
QUEENS VILLAGE, NY 11427-1013
Phone number:
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