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1669008769
JIMMY RODRIGUEZ
BRONX, NY
NPI
1669008769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 31241)
Enumeration Date
2020-03-20
Last Update Date
2021-10-25
Business Address
JIMMY RODRIGUEZ
3584 JEROME AVE
BRONX, NY 10467-1006
Phone number: 718-653-1537
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Mailing Address
JIMMY RODRIGUEZ
754 BRADY AVE APT 503
BRONX, NY 10462-2779
Phone number:
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