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1528232220
CLEVELAND SHELTON JOSEPH
BRONX, NY
NPI
1528232220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
(Licence: NY 101777)
Enumeration Date
2008-04-15
Last Update Date
2008-04-15
Business Address
Mr. CLEVELAND SHELTON JOSEPH CASAC
4360 FURMAN AVE APT 4H
BRONX, NY 10466-1544
Phone number: 347-346-9278
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Mailing Address
Mr. CLEVELAND SHELTON JOSEPH CASAC
4360 FURMAN AVE APT 4H
BRONX, NY 10466-1544
Phone number: 347-346-9278
Copy
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