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1649780669
DIANA ILLESCAS
MOUNT VERNON, NY
NPI
1649780669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-10-04
Last Update Date
2017-10-04
Business Address
DIANA ILLESCAS
256 WASHINGTON ST
MOUNT VERNON, NY 10553-1052
Phone number: 914-613-0700
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Mailing Address
DIANA ILLESCAS
256 WASHINGTON ST
MOUNT VERNON, NY 10553-1052
Phone number:
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