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1568643187
MAYRA IVELISSE LEE
EAST ORANGE, NJ
NPI
1568643187
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Former Name
MAYRA IVELISSE LATORRE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: PR 017150)
Enumeration Date
2007-11-26
Last Update Date
2007-11-26
Business Address
MRS. MAYRA IVELISSE LEE RN
385 TREMONT AVE 111 I D
EAST ORANGE, NJ 07018-1023
Phone number: 973-676-1000
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Mailing Address
MRS. MAYRA IVELISSE LEE RN
385 TREMONT AVE 111 I D
EAST ORANGE, NJ 07018-1023
Phone number: 973-676-1000
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