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1740749118
WINWARD TERRY DALE
BRONX, NY
NPI
1740749118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: NY 1277672181)
Enumeration Date
2019-03-15
Last Update Date
2019-03-15
Business Address
WINWARD TERRY DALE
3965 BELL AVE
BRONX, NY 10466-2432
Phone number: 917-995-7626
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Mailing Address
WINWARD TERRY DALE
3965 BELL AVE
BRONX, NY 10466-2432
Phone number: 917-995-7626
Copy
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