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1396222642
CORALIE BALLISTA
BRONX, NY
NPI
1396222642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2018-07-19
Last Update Date
2018-07-19
Business Address
CORALIE BALLISTA
750 TILDEN ST
BRONX, NY 10467-6013
Phone number: 718-231-3400
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Mailing Address
CORALIE BALLISTA
750 TILDEN ST
BRONX, NY 10467-6013
Phone number: 718-231-3400
Copy
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