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1588213656
RAPHY ONIEL ULLOA DE LA CRUZ
ENGLEWOOD, NJ
NPI
1588213656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
RAPHY ONIEL ULLOA DE LA CRUZ
75 GRAND AVE
ENGLEWOOD, NJ 07631-3522
Phone number: 201-541-8600
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Mailing Address
RAPHY ONIEL ULLOA DE LA CRUZ
414 N 11TH ST APT 1
PROSPECT PARK, NJ 07508-2213
Phone number:
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