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1215280425
LIBANESA SEPULVEDA
BRONX, NY
NPI
1215280425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NY 0246411)
Enumeration Date
2012-10-25
Last Update Date
2012-10-25
Business Address
-- LIBANESA SEPULVEDA
1515 SOUTHERN BLVD
BRONX, NY 10460-5980
Phone number: 718-589-3400
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Mailing Address
-- LIBANESA SEPULVEDA
1775 CLAY AVE APT 6B
BRONX, NY 10457-7207
Phone number:
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