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1407021041
DEAVER ALVIN VARNER
BRONX, NY
NPI
1407021041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-04-24
Last Update Date
2008-04-24
Business Address
-- DEAVER ALVIN VARNER
55 WESTCHESTER SQ
BRONX, NY 10461-3525
Phone number: 718-931-4045
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Mailing Address
-- DEAVER ALVIN VARNER
1515 GRAND CONCOURSE APARTMENT 6C
BRONX, NY 10452-6340
Phone number: 718-931-4045
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