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1912742859
HUNTER EDWARD MALL
JEFFERSONVILLE, NY
NPI
1912742859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 011568)
Enumeration Date
2024-07-01
Last Update Date
2024-07-01
Business Address
HUNTER EDWARD MALL COTA
264 JEFFERSONVILLE NORTH BRANCH RD
JEFFERSONVILLE, NY 12748-5624
Phone number: 845-796-8200
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Mailing Address
HUNTER EDWARD MALL COTA
264 JEFFERSONVILLE NORTH BRANCH RD
JEFFERSONVILLE, NY 12748-5624
Phone number: 845-796-8200
Copy
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