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1255849857
LIROSE SUPREME-EDOUARD
BRONX, NY
NPI
1255849857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-01-17
Last Update Date
2018-01-17
Business Address
LIROSE SUPREME-EDOUARD BS behavior science
391 E 149TH ST
BRONX, NY 10455-3907
Phone number: 718-676-9491
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Mailing Address
LIROSE SUPREME-EDOUARD BS behavior science
391 E 149TH ST
BRONX, NY 10455-3907
Phone number: 718-676-9491
Copy
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