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1457778755
KIM GRULLON
BRONX, NY
NPI
1457778755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: NJ G76614348857892)
Enumeration Date
2014-03-25
Last Update Date
2014-03-25
Business Address
-- KIM GRULLON
2336 ANDREWS AVE FL 2
BRONX, NY 10468-6001
Phone number: 718-561-5300
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Mailing Address
-- KIM GRULLON
7205 JFK BLVD E FL 1
NORTH BERGEN, NJ 07047-5912
Phone number:
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