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1407508963
JOSE LUIS FONSECA
NEW YORK, NY
NPI
1407508963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: NY 5688)
Enumeration Date
2022-01-25
Last Update Date
2022-01-25
Business Address
JOSE LUIS FONSECA CRPA-P
1727 AMSTERDAM AVE
NEW YORK, NY 10031-4611
Phone number: 212-694-9200
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Mailing Address
JOSE LUIS FONSECA CRPA-P
1727 AMSTERDAM AVE
NEW YORK, NY 10031-4611
Phone number: 212-694-9200
Copy
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