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1720467921
ETTY TEREBELO
LAKEWOOD, NJ
NPI
1720467921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NJ 46tr006800)
Enumeration Date
2015-05-21
Last Update Date
2015-05-21
Business Address
-- ETTY TEREBELO
8 E 13TH ST
LAKEWOOD, NJ 08701-1911
Phone number: 732-994-8019
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Mailing Address
-- ETTY TEREBELO
8 E 13TH ST
LAKEWOOD, NJ 08701-1911
Phone number: 732-994-8019
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