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1629640347
TANIA LISETH ULLOA
MELVILLE, NY
NPI
1629640347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-07-13
Last Update Date
2021-07-13
Business Address
Ms. TANIA LISETH ULLOA
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7780
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Mailing Address
Ms. TANIA LISETH ULLOA
8 DAWSON PL
HUNTINGTON STATION, NY 11746-1002
Phone number: 631-575-0822
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