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1457765307
JACQUELINE BURDITT
MIDDLETOWN, DE
NPI
1457765307
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Former Name
JACQUELINE SHIELDS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: DE U2-0001873)
Enumeration Date
2014-06-19
Last Update Date
2019-05-01
Business Address
JACQUELINE BURDITT OTA/L
311 MARLDALE DR
MIDDLETOWN, DE 19709-1717
Phone number: 302-373-9941
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Mailing Address
JACQUELINE BURDITT OTA/L
311 MARLDALE DR
MIDDLETOWN, DE 19709-1717
Phone number: 302-373-9941
Copy
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