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1043906696
EDWARD GERARD DE PEDRO TABUADA
BROOKLYN, NY
NPI
1043906696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 013214-01)
Enumeration Date
2023-04-17
Last Update Date
2023-04-17
Business Address
Mr. EDWARD GERARD DE PEDRO TABUADA
1084 LIBERTY AVE
BROOKLYN, NY 11208-2923
Phone number: 347-586-0625
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Mailing Address
Mr. EDWARD GERARD DE PEDRO TABUADA
1084 LIBERTY AVE
BROOKLYN, NY 11208-2923
Phone number: 347-586-0625
Copy
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