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1740810738
MAX BORGELLA
WEST ORANGE, NJ
NPI
1740810738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 403082)
Enumeration Date
2020-01-19
Last Update Date
2020-01-19
Business Address
MAX BORGELLA
129 MITCHELL ST
WEST ORANGE, NJ 07052-4553
Phone number: 973-330-1431
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Mailing Address
MAX BORGELLA
129 MITCHELL ST
WEST ORANGE, NJ 07052-4553
Phone number: 973-330-1431
Copy
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