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1043035769
ELLIS AUBREY HAGADORN
BROOKLYN, NY
NPI
1043035769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 053379)
Enumeration Date
2024-11-18
Last Update Date
2024-11-18
Business Address
ELLIS AUBREY HAGADORN DPT
142 PROSPECT PARK W
BROOKLYN, NY 11215-4506
Phone number: 929-560-9005
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Mailing Address
ELLIS AUBREY HAGADORN DPT
310 S 3RD ST APT 30
BROOKLYN, NY 11211-4642
Phone number: 949-705-8870
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