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1548743255
JAVIER ILLESCAS
MOUNT VERNON, NY
NPI
1548743255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-09-09
Last Update Date
2023-02-09
Business Address
JAVIER ILLESCAS
8 N 10TH AVE
MOUNT VERNON, NY 10550-2516
Phone number: 914-294-1951
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Mailing Address
JAVIER ILLESCAS
8 N 10TH AVE
MOUNT VERNON, NY 10550-2516
Phone number:
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