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1942694807
MARK JAMES KRAN
STATEN ISLAND, NY
NPI
1942694807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-03-27
Last Update Date
2015-03-27
Business Address
Mr. MARK JAMES KRAN CASAC
273 HEBERTON AVE
STATEN ISLAND, NY 10302-1809
Phone number: 718-412-3170
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Mailing Address
Mr. MARK JAMES KRAN CASAC
273 HEBERTON AVE
STATEN ISLAND, NY 10302-1809
Phone number: 718-412-3170
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