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1063777001
CHARLEEN LUCAS
NEW CITY, NY
NPI
1063777001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 006653-1)
Enumeration Date
2012-07-05
Last Update Date
2012-07-05
Business Address
-- CHARLEEN LUCAS COTA
62 OLD MIDDLETOWN RD
NEW CITY, NY 10956-2710
Phone number: 845-639-6492
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Mailing Address
-- CHARLEEN LUCAS COTA
62 OLD MIDDLETOWN RD
NEW CITY, NY 10956-2710
Phone number: 845-639-6492
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