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1982972519
ANTONIO MANUEL VALDEZ
NEW YORK, NY
NPI
1982972519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: NY 19543)
Enumeration Date
2011-12-10
Last Update Date
2011-12-10
Business Address
Mr. ANTONIO MANUEL VALDEZ CASAC
72 SEAMAN AVE APARTMENT 4-H
NEW YORK, NY 10034-2822
Phone number: 646-964-5396
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Mailing Address
Mr. ANTONIO MANUEL VALDEZ CASAC
72 SEAMAN AVE APARTMENT 4-H
NEW YORK, NY 10034-2822
Phone number: 646-964-5396
Copy
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