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1871197434
DESMOND LUIS RIVERA
BRONX, NY
NPI
1871197434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 030282-01)
Enumeration Date
2020-11-24
Last Update Date
2020-11-24
Business Address
Mr. DESMOND LUIS RIVERA CCC-SLP
4125 CARPENTER AVE RM 109
BRONX, NY 10466-2601
Phone number: 718-650-0261
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Mailing Address
Mr. DESMOND LUIS RIVERA CCC-SLP
4125 CARPENTER AVE RM 109
BRONX, NY 10466-2601
Phone number: 718-650-0261
Copy
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