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1033352182
MODESTO ALVIN CHUA CAMACHO
JAMAICA, NY
NPI
1033352182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 019020)
Enumeration Date
2009-04-18
Last Update Date
2024-05-02
Business Address
MODESTO ALVIN CHUA CAMACHO PT
18726 87TH RD
JAMAICA, NY 11432-2426
Phone number: 718-454-4315
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Mailing Address
MODESTO ALVIN CHUA CAMACHO PT
18726 87TH RD
JAMAICA, NY 11432-2426
Phone number: 718-454-4315
Copy
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