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1275282899
IVANNA DIEGO
ELIZABETH, NJ
NPI
1275282899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2022-03-21
Last Update Date
2022-04-14
Business Address
IVANNA DIEGO
554 CHILTON ST
ELIZABETH, NJ 07208-1629
Phone number: 908-337-7820
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Mailing Address
IVANNA DIEGO
554 CHILTON ST
ELIZABETH, NJ 07208-1629
Phone number: 908-337-7820
Copy
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