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1174937536
HIMILCE REYNOSO
SOUTH AMBOY, NJ
NPI
1174937536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-06-13
Last Update Date
2014-06-13
Business Address
Mrs. HIMILCE REYNOSO
1 MAIN ST
SOUTH AMBOY, NJ 08879-1142
Phone number: 732-727-2555
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Mailing Address
Mrs. HIMILCE REYNOSO
1 MAIN ST
SOUTH AMBOY, NJ 08879-1142
Phone number: 732-727-2555
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