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1114182227
JORGE CUENCA
BRONX, NY
NPI
1114182227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-07-29
Last Update Date
2008-07-29
Business Address
-- JORGE CUENCA
3584 JEROME AVE.
BRONX, NY 10467
Phone number: 718-653-1537
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Mailing Address
-- JORGE CUENCA
PO BOX 31094
HARTFORD, CT 06150-1094
Phone number: 518-952-8140
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