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1740040229
ANDREW MANANSALA
CLIFTON, NJ
NPI
1740040229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NJ 46TA09109900)
Enumeration Date
2024-03-20
Last Update Date
2024-03-20
Business Address
ANDREW MANANSALA
63 HOOYMAN DR
CLIFTON, NJ 07013-3640
Phone number: 973-330-6431
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Mailing Address
ANDREW MANANSALA
983 GARIBALDI PL
TOWNSHIP OF WASHINGTON, NJ 07676-4120
Phone number: 201-310-6131
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