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1962791095
JESUS H MORENO
HEMPSTEAD, NY
NPI
1962791095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 9684)
Enumeration Date
2011-03-29
Last Update Date
2011-03-29
Business Address
Mr. JESUS H MORENO CASAC
344 FULTON AVE
HEMPSTEAD, NY 11550-3923
Phone number: 516-538-2613
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Mailing Address
Mr. JESUS H MORENO CASAC
344 FULTON AVE
HEMPSTEAD, NY 11550-3923
Phone number: 516-538-2613
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