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1427501113
MICHAEL HENRY LAKE
MONROE TOWNSHIP, NJ
NPI
1427501113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NJ 46TR00695100)
Enumeration Date
2016-07-28
Last Update Date
2016-07-28
Business Address
MICHAEL HENRY LAKE
1 DAVID BRAINERD DR
MONROE TOWNSHIP, NJ 08831-1927
Phone number: 732-521-6400
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Mailing Address
MICHAEL HENRY LAKE
2403 CYPRESS LN
EAST BRUNSWICK, NJ 08816-5274
Phone number: 908-240-9242
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