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1720598204
IMELDA D. MANTILLA
CLIFTON, NJ
NPI
1720598204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-10-10
Last Update Date
2017-10-10
Business Address
IMELDA D. MANTILLA BA
777 BLOOMFIELD AVE
CLIFTON, NJ 07012-1242
Phone number: 973-594-0125
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Mailing Address
IMELDA D. MANTILLA BA
777 BLOOMFIELD AVE
CLIFTON, NJ 07012-1242
Phone number: 973-594-0125
Copy
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