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1033418983
LUIS R FAGUNDES
NEW YORK, NY
NPI
1033418983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: NY 078325)
Enumeration Date
2011-03-17
Last Update Date
2018-09-20
Business Address
MR. LUIS R FAGUNDES LCSW
462 1ST AVE
NEW YORK, NY 10016-9196
Phone number: 212-562-4679
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Mailing Address
MR. LUIS R FAGUNDES LCSW
248 W 108TH ST
NEW YORK, NY 10025-2956
Phone number: 212-562-4679
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