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1689057200
JOHN MICKLE
SCHENECTADY, NY
NPI
1689057200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 008238-1)
Enumeration Date
2015-07-01
Last Update Date
2015-07-01
Business Address
-- JOHN MICKLE
280 SHADY ACRES DR
SCHENECTADY, NY 12303-4718
Phone number: 518-421-1193
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Mailing Address
-- JOHN MICKLE
280 SHADY ACRES DR
SCHENECTADY, NY 12303-4718
Phone number: 518-421-1193
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