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1316329147
LISANDRA DE FRAGA
BROOKLYN, NY
NPI
1316329147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 008659)
Enumeration Date
2015-06-29
Last Update Date
2015-06-29
Business Address
-- LISANDRA DE FRAGA COTA
1651 CONEY ISLAND AVE
BROOKLYN, NY 11230-5849
Phone number: 718-998-1415
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Mailing Address
-- LISANDRA DE FRAGA COTA
2124 31ST ST APT 2G
ASTORIA, NY 11105-2621
Phone number: 917-680-9195
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