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1215582960
CARLNELL SAMUEL FRAZIER
BROOKLYN, NY
NPI
1215582960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: NY NYCPS-P-810)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2019-08-08
Last Update Date
2023-06-23
Business Address
Mr. CARLNELL SAMUEL FRAZIER CPS
25 FLATBUSH AVE STE 3
BROOKLYN, NY 11217-2499
Phone number: 718-852-5212
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Mailing Address
Mr. CARLNELL SAMUEL FRAZIER CPS
1695 MADISON AVE APT 8G
NEW YORK, NY 10029-1821
Phone number: 929-345-5213
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