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1568007672
NIDIA MERCEDES BAZANTE
CORONA, NY
NPI
1568007672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY P103183)
Enumeration Date
2019-11-12
Last Update Date
2020-01-07
Business Address
NIDIA MERCEDES BAZANTE
3712 108TH ST
CORONA, NY 11368-2025
Phone number: 718-651-4000
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Mailing Address
NIDIA MERCEDES BAZANTE
3712 108TH ST
CORONA, NY 11368-2025
Phone number: 516-547-6614
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