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1639613953
JILLIAN RIVERA
MOUNT VERNON, NY
NPI
1639613953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 669226121)
Enumeration Date
2016-12-05
Last Update Date
2016-12-05
Business Address
-- JILLIAN RIVERA
140 PARKWAY S
MOUNT VERNON, NY 10552-2343
Phone number: 914-525-1727
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Mailing Address
-- JILLIAN RIVERA
140 PARKWAY S
MOUNT VERNON, NY 10552-2343
Phone number: 914-525-1727
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