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1407248164
SOPHIA DASTINE
HAVERSTRAW, NY
NPI
1407248164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NJ 46TA09106700)
Enumeration Date
2015-03-04
Last Update Date
2015-03-09
Business Address
-- SOPHIA DASTINE
87-89 S RTE 9W
HAVERSTRAW, NY 10927
Phone number: 845-429-5381
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Mailing Address
-- SOPHIA DASTINE
30 S DOUGHTY AVE APT 407
SOMERVILLE, NJ 08876-2833
Phone number: 845-300-0513
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