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1043775000
GINA BLACK
VINELAND, NJ
NPI
1043775000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NJ 46tr00502300)
Enumeration Date
2019-02-04
Last Update Date
2019-02-04
Business Address
GINA BLACK OT
3339 BURNT MILL DR
VINELAND, NJ 08360-1613
Phone number: 609-675-1699
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Mailing Address
GINA BLACK OT
3339 BURNT MILL DR
VINELAND, NJ 08360-1613
Phone number:
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