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1285478263
ILDEFONSO OQUENDO
BROOKLYN, NY
NPI
1285478263
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 25833)
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
ILDEFONSO OQUENDO CASAC
1623 KINGS HWY
BROOKLYN, NY 11229-1209
Phone number: 929-273-7601
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Mailing Address
ILDEFONSO OQUENDO CASAC
1776 CASTLE HILL AVE APT 3I
BRONX, NY 10462-4228
Phone number: 347-282-8785
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