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1528193562
ALFRED EDGAR HAVRILLA
KINGSTON, NY
NPI
1528193562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 0031731)
Enumeration Date
2007-02-22
Last Update Date
2015-08-16
Business Address
-- ALFRED EDGAR HAVRILLA OTR
145 ALDA DR
KINGSTON, NY 12401-8702
Phone number: 845-382-1899
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Mailing Address
-- ALFRED EDGAR HAVRILLA OTR
145 ALDA DR
KINGSTON, NY 12401-8702
Phone number: 845-417-7224
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