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1902360704
TIERRA DONALDSON
BRONX, NY
NPI
1902360704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-01-25
Last Update Date
2019-01-25
Business Address
TIERRA DONALDSON
529 COURTLANDT AVE
BRONX, NY 10451-5007
Phone number: 718-402-2150
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Mailing Address
TIERRA DONALDSON
4519 MONTICELLO AVE
BRONX, NY 10466-1029
Phone number: 646-260-4676
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