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1518638584
JANSON S SCOTT
BROOKLYN, NY
NPI
1518638584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
Mr. JANSON S SCOTT MHTA
8620 18TH AVE
BROOKLYN, NY 11214-3702
Phone number: 718-256-8818
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Mailing Address
Mr. JANSON S SCOTT MHTA
8620 18TH AVE
BROOKLYN, NY 11214-3702
Phone number: 718-256-8818
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