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1720341605
IVELISSE VILLANUEVA
BRONX, NY
NPI
1720341605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 639976)
Enumeration Date
2012-06-16
Last Update Date
2012-06-16
Business Address
-- IVELISSE VILLANUEVA
3235 CAMBRIDGE AVE APT LF
BRONX, NY 10463-3626
Phone number: 646-321-3126
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Mailing Address
-- IVELISSE VILLANUEVA
3235 CAMBRIDGE AVE APT LF
BRONX, NY 10463-3626
Phone number: 646-321-3126
Copy
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