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1235891722
SEQUITA SHONTAE ANDERSON
PATERSON, NJ
NPI
1235891722
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Former Name
SEQUITA SHONTAE ANDERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 010796-01)
Enumeration Date
2021-10-12
Last Update Date
2021-10-12
Business Address
SEQUITA SHONTAE ANDERSON
184 CARBON ST
PATERSON, NJ 07522-1231
Phone number: 862-297-1485
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Mailing Address
SEQUITA SHONTAE ANDERSON
184 CARBON ST
PATERSON, NJ 07522-1231
Phone number: 862-297-1485
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