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1396003315
MANDISA STANISLAUS
BROOKLYN, NY
NPI
1396003315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 013733)
Enumeration Date
2012-04-27
Last Update Date
2012-04-27
Business Address
-- MANDISA STANISLAUS
900 SAINT MARKS AVE
BROOKLYN, NY 11213-1523
Phone number: 718-493-3824
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Mailing Address
-- MANDISA STANISLAUS
900 SAINT MARKS AVE
BROOKLYN, NY 11213-1523
Phone number: 718-493-3824
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