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1942772009
LARRY UTLEY
BROOKLYN, NY
NPI
1942772009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
LARRY UTLEY
1041 BERGEN ST
BROOKLYN, NY 11216-3307
Phone number: 718-771-0760
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Mailing Address
LARRY UTLEY
1041 BERGEN ST
BROOKLYN, NY 11216-3307
Phone number: 718-771-0760
Copy
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