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1770962151
JEAN COLLEEN COSENZA
DERBY, NY
NPI
1770962151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-05-19
Last Update Date
2015-05-19
Business Address
-- JEAN COLLEEN COSENZA
1115 WISCONSIN RD
DERBY, NY 14047-9577
Phone number: 716-570-8219
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Mailing Address
-- JEAN COLLEEN COSENZA
1115 WISCONSIN RD
DERBY, NY 14047-9577
Phone number: 716-570-8219
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