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1134837685
LEANNE LICITRA
JERSEY CITY, NJ
NPI
1134837685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2022-11-14
Last Update Date
2022-11-14
Business Address
LEANNE LICITRA
100 HOBOKEN AVE
JERSEY CITY, NJ 07310-1028
Phone number: 973-897-9397
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Mailing Address
LEANNE LICITRA
26 MANDEVILLE AVE
PEQUANNOCK, NJ 07440-1538
Phone number: 973-897-9397
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