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1306268602
JAIRO FUERTES
GARDEN CITY, NY
NPI
1306268602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 013736)
Enumeration Date
2014-01-06
Last Update Date
2014-01-06
Business Address
Dr. JAIRO FUERTES
158 CAMBRIDGE AVE RM 319
GARDEN CITY, NY 11530-4235
Phone number: 917-821-4623
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Mailing Address
Dr. JAIRO FUERTES
158 CAMBRIDGE AVE RM 319
GARDEN CITY, NY 11530-4235
Phone number:
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