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1750750329
GLENDA LOPEZ
FARMINGDALE, NY
NPI
1750750329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-09-24
Last Update Date
2015-09-24
Business Address
-- GLENDA LOPEZ
539 BROAD HOLLOW RD SUITE 202
FARMINGDALE, NY 11735
Phone number: 631-385-7780
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Mailing Address
-- GLENDA LOPEZ
4 BURWOOD LN
CORAM, NY 11727
Phone number: 917-445-0905
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