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1720538119
LUEDENI TILIA HOLNESS
BROOKLYN, NY
NPI
1720538119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY 1359595)
Enumeration Date
2016-10-10
Last Update Date
2016-10-10
Business Address
Mrs. LUEDENI TILIA HOLNESS
412 NEW JERSEY AVE
BROOKLYN, NY 11207-4111
Phone number: 917-975-9910
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Mailing Address
Mrs. LUEDENI TILIA HOLNESS
412 NEW JERSEY AVE
BROOKLYN, NY 11207-4111
Phone number: 917-975-9910
Copy
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