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1083023501
SHINING LEAF IPA, LLC
BROOKLYN, NY
NPI
1083023501
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Entity Type
Organization
Authorized Contact
JENI WALLACE
Vice President Of Operations
718-269-4888
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2014-08-08
Last Update Date
2014-08-08
Business Address
SHINING LEAF IPA, LLC
2900 BRAGG ST
BROOKLYN, NY 11235-1144
Phone number: 718-268-4888
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Mailing Address
SHINING LEAF IPA, LLC
2900 BRAGG ST
BROOKLYN, NY 11235-1144
Phone number: 718-268-4888
Copy
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