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1164090593
JESSICA DECELIAN
VALLEY STREAM, NY
NPI
1164090593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-06-13
Last Update Date
2021-06-13
Business Address
JESSICA DECELIAN
23 MARLOW RD
VALLEY STREAM, NY 11580-3705
Phone number: 516-884-7742
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Mailing Address
JESSICA DECELIAN
11208 204TH ST
SAINT ALBANS, NY 11412-2212
Phone number: 347-552-9351
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