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1508404757
THALIA JEANETTE ASENCIO
BRONX, NY
NPI
1508404757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-12-18
Last Update Date
2019-12-18
Business Address
THALIA JEANETTE ASENCIO
529 COURTLANDT AVE
BRONX, NY 10451-5007
Phone number: 718-993-7700
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Mailing Address
THALIA JEANETTE ASENCIO
529 COURTLANDT AVE FL 4
BRONX, NY 10451-5007
Phone number:
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