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1982177341
JACKIE KATHLEEN PROFERA
ALBANY, NY
NPI
1982177341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 009663-1)
Enumeration Date
2019-01-09
Last Update Date
2019-01-09
Business Address
JACKIE KATHLEEN PROFERA COTA/L
43 NEW SCOTLAND AVE
ALBANY, NY 12208-3412
Phone number: 518-262-3291
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Mailing Address
JACKIE KATHLEEN PROFERA COTA/L
43 NEW SCOTLAND AVE
ALBANY, NY 12208-3478
Phone number:
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