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1346948197
SHANELLA JIMENEZ
STATEN ISLAND, NY
NPI
1346948197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NY 027718)
Enumeration Date
2023-02-21
Last Update Date
2023-02-21
Business Address
SHANELLA JIMENEZ
3391 RICHMOND AVE
STATEN ISLAND, NY 10312-2025
Phone number: 718-608-9170
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Mailing Address
SHANELLA JIMENEZ
810 27TH AVE APT 717
ASTORIA, NY 11102-3962
Phone number: 347-209-7173
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