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1093109282
LARISSA GETHARD
BRONX, NY
NPI
1093109282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2015-03-25
Last Update Date
2015-03-25
Business Address
-- LARISSA GETHARD
3030 JOHNSON AVE
BRONX, NY 10463-3540
Phone number: 732-232-0195
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Mailing Address
-- LARISSA GETHARD
3030 JOHNSON AVE
BRONX, NY 10463-3540
Phone number: 732-232-0195
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