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1639541147
YADIEL A ORTIZ
WESTAMPTON, NJ
NPI
1639541147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 076337896101946)
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
-- YADIEL A ORTIZ
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 909-267-5928
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Mailing Address
-- YADIEL A ORTIZ
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 909-267-5928
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