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1508400961
AIYANA AMARIS MATONDO
MOUNT VERNON, NY
NPI
1508400961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 009716-1)
Enumeration Date
2019-10-29
Last Update Date
2019-10-29
Business Address
AIYANA AMARIS MATONDO COTA
105 STEVENS AVENUE
MOUNT VERNON, NY 10550
Phone number: 914-668-4238
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Mailing Address
AIYANA AMARIS MATONDO COTA
15 HUDSON AVENUE
MOUNT VERNON, NY 10553
Phone number: 201-566-6429
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