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1255086542
ELISA KING
BRONX, NY
NPI
1255086542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: NY NYCPS-P-2077)
Enumeration Date
2022-02-16
Last Update Date
2022-02-16
Business Address
ELISA KING Provisional PSS
1560 TOWNSEND AVE APT 2I
BRONX, NY 10452-6021
Phone number: 347-556-7598
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Mailing Address
ELISA KING Provisional PSS
1560 TOWNSEND AVE APT 2I
BRONX, NY 10452-6021
Phone number:
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