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1013527894
MILLIE S MOGOUONG
NEWARK, NJ
NPI
1013527894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 006848-1)
Enumeration Date
2020-08-05
Last Update Date
2020-08-05
Business Address
MILLIE S MOGOUONG
28 RICHARDS ST APT 3
NEWARK, NJ 07105-3705
Phone number: 347-489-2934
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Mailing Address
MILLIE S MOGOUONG
28 RICHARDS ST APT 3
NEWARK, NJ 07105-3705
Phone number: 347-489-2934
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