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Individual
KING IMASUEN
Active
Individual
KING IMASUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
020242-1
NY
225X00000X
Occupational Therapist
Primary
020242
NY
Other
Enumeration date
12/14/2015
Last updated
01/19/2021
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