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1366199101
JACOB CANNATELLA
WEBSTER, TX
NPI
1366199101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
JACOB CANNATELLA
14520 TX-3
WEBSTER, TX 77598
Phone number: 216-772-1030
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Mailing Address
JACOB CANNATELLA
PO BOX 1806
DURHAM, NC 27702-1806
Phone number: 216-772-1030
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