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1124467287
JANOVLY JEREMIAH GANA FAMANILA
LONG ISLAND CITY, NY
NPI
1124467287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 017383)
Enumeration Date
2013-06-21
Last Update Date
2013-06-21
Business Address
-- JANOVLY JEREMIAH GANA FAMANILA OTR
3636 33RD ST STE 500
LONG ISLAND CITY, NY 11106-2329
Phone number: 212-529-9780
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Mailing Address
-- JANOVLY JEREMIAH GANA FAMANILA OTR
1845 HOBART AVE APT 10D
BRONX, NY 10461-4173
Phone number: 646-331-2040
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