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1295091114
JUAN JOSE SANTACRUZ
ALBANY, NY
NPI
1295091114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-04-04
Last Update Date
2012-04-04
Business Address
-- JUAN JOSE SANTACRUZ
64 2ND AVENUE
ALBANY, NY 12202
Phone number: 518-449-5170
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Mailing Address
-- JUAN JOSE SANTACRUZ
74 EDWARD STREET 2ND FLOOR
COHOES, NY 12047
Phone number: 518-572-4298
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