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1942052303
KRISTOFER BALATERO
LINCROFT, NJ
NPI
1942052303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NJ 46TA09132300)
Enumeration Date
2024-04-01
Last Update Date
2024-04-01
Business Address
KRISTOFER BALATERO COTA/L
734 NEWMAN SPRINGS RD
LINCROFT, NJ 07738-1523
Phone number: 732-212-1910
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Mailing Address
KRISTOFER BALATERO COTA/L
3504 WILLOW DR
OCEAN, NJ 07712-2841
Phone number: 732-610-2072
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