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1932221108
EDMOND BERNARD BOCK
ATCO, NJ
NPI
1932221108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NJ 46ta09056000)
Enumeration Date
2007-04-06
Last Update Date
2009-06-07
Business Address
Mr. EDMOND BERNARD BOCK cota/l
190 LAKE DR
ATCO, NJ 08004-3013
Phone number: 856-210-6231
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Mailing Address
Mr. EDMOND BERNARD BOCK cota/l
190 LAKE DR
ATCO, NJ 08004-3013
Phone number: 856-210-6231
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