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1326814435
LUIS FERNANDEZ
BOGOTA, NJ
NPI
1326814435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Additional Taxonomies
252Y00000X Early Intervention Provider Agency
Enumeration Date
2023-11-29
Last Update Date
2024-01-07
Business Address
LUIS FERNANDEZ
45 CYPRESS AVE
BOGOTA, NJ 07603-1801
Phone number: 646-755-5999
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Mailing Address
LUIS FERNANDEZ
45 CYPRESS AVE
BOGOTA, NJ 07603-1801
Phone number: 646-755-5999
Copy
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