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1790321990
KEISHA SAMUEL
NEWARK, NJ
NPI
1790321990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 009963)
Enumeration Date
2019-11-22
Last Update Date
2019-11-22
Business Address
KEISHA SAMUEL
776 S 18TH ST FL 2
NEWARK, NJ 07103-1050
Phone number: 201-878-2598
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Mailing Address
KEISHA SAMUEL
776 S 18TH ST FL 2
NEWARK, NJ 07103-1050
Phone number: 201-878-2598
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