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1083773758
KIM A CANDELA
GOSHEN, NY
NPI
1083773758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 006314-1)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
KIM A CANDELA COTA
2 FLETCHER ST
GOSHEN, NY 10924-1402
Phone number: 845-294-8806
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Mailing Address
KIM A CANDELA COTA
39 MOUNT VERNON RD
WURTSBORO, NY 12790-5312
Phone number: 845-888-4817
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