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1053629030
EVALYN NELSON BLADSTROM
BROOKLYN, NY
NPI
1053629030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 013422)
Enumeration Date
2010-09-23
Last Update Date
2010-10-07
Business Address
Ms. EVALYN NELSON BLADSTROM
65 COURT ST ROOM 1503
BROOKLYN, NY 11201-4916
Phone number: 718-935-4789
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Mailing Address
Ms. EVALYN NELSON BLADSTROM
3 EAST 85TH STREET APT 6B
NEW YORK, NY 10028
Phone number: 917-526-2343
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