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1851959233
LUISE IRA MAMBA
AMITYVILLE, NY
NPI
1851959233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: 70325)
Enumeration Date
2019-05-31
Last Update Date
2019-05-31
Business Address
LUISE IRA MAMBA CTRS
400 SUNRISE HWY
AMITYVILLE, NY 11701-2508
Phone number: 631-608-5433
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Mailing Address
LUISE IRA MAMBA CTRS
400 SUNRISE HWY
AMITYVILLE, NY 11701-2508
Phone number:
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