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1811370851
INGRID ROSE BERGEN
VINELAND, NJ
NPI
1811370851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NJ 46TA09024500)
Enumeration Date
2015-07-08
Last Update Date
2015-07-08
Business Address
Mrs. INGRID ROSE BERGEN COTA
635 W WHEAT RD
VINELAND, NJ 08360-1973
Phone number: 856-692-6673
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Mailing Address
Mrs. INGRID ROSE BERGEN COTA
635 W WHEAT RD
VINELAND, NJ 08360-1973
Phone number: 856-692-6673
Copy
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