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1467690479
ANGEL POLANCO
BRONX, NY
NPI
1467690479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 11802)
Enumeration Date
2009-01-29
Last Update Date
2009-01-29
Business Address
Mr. ANGEL POLANCO CASAC
819C E 161ST ST
BRONX, NY 10459-3951
Phone number: 718-503-7763
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Mailing Address
Mr. ANGEL POLANCO CASAC
819C E 161ST ST
BRONX, NY 10459-3951
Phone number: 718-503-7763
Copy
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