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1912330259
JISIN JOSE
BRONX, NY
NPI
1912330259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 017428-1)
Enumeration Date
2013-08-09
Last Update Date
2013-08-09
Business Address
-- JISIN JOSE
2179 MATTHEWS AVE
BRONX, NY 10462-2010
Phone number: 212-221-1544
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Mailing Address
-- JISIN JOSE
2179 MATTHEWS AVE
BRONX, NY 10462-2010
Phone number:
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