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1609633239
LASSANA DAVIS
PLEASANTVILLE, NY
NPI
1609633239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
2024-02-29
Last Update Date
2024-02-29
Business Address
LASSANA DAVIS
1075 BROADWAY
PLEASANTVILLE, NY 10570-2346
Phone number: 914-773-6917
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Mailing Address
LASSANA DAVIS
1075 BROADWAY
PLEASANTVILLE, NY 10570-2346
Phone number: 914-773-6917
Copy
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