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1053392860
JERUSALEM VICENCIO VALDEZ
VALLEY STREAM, NY
NPI
1053392860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 021867)
Enumeration Date
2005-11-09
Last Update Date
2016-03-30
Business Address
-- JERUSALEM VICENCIO VALDEZ PT
18 WOOD LN
VALLEY STREAM, NY 11581-2618
Phone number: 646-469-1527
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Mailing Address
-- JERUSALEM VICENCIO VALDEZ PT
18 WOOD LN
VALLEY STREAM, NY 11581-2618
Phone number: 646-469-1527
Copy
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