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1992167860
ROUSSEAU ETIENNE
BROOKLYN, NY
NPI
1992167860
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Entity Type
Organization
Authorized Contact
ROUSSEAU ETIENNE
Lpn
917-335-7427
Organization Subpart ?
No
Primary Taxonomy
311ZA0620X Custodial Care Facility Adult Care Home
Enumeration Date
2016-03-22
Last Update Date
2016-03-22
Business Address
ROUSSEAU ETIENNE
1695 REMSEN AVE
BROOKLYN, NY 11236-5233
Phone number: 917-335-7427
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Mailing Address
ROUSSEAU ETIENNE
1695 REMSEN AVE
BROOKLYN, NY 11236-5233
Phone number: 917-335-7427
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