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1174827547
DONNA NOEL LICK
TEANECK, NJ
NPI
1174827547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NJ 46TR00453600)
Enumeration Date
2010-12-28
Last Update Date
2010-12-28
Business Address
Miss DONNA NOEL LICK OTR
206 LINDBERGH BLVD
TEANECK, NJ 07666-6524
Phone number: 201-281-8053
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Mailing Address
Miss DONNA NOEL LICK OTR
206 LINDBERGH BLVD
TEANECK, NJ 07666-6524
Phone number: 201-281-8053
Copy
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