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1053604611
JAMES CHAVEZ
LAWRENCE, NY
NPI
1053604611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: NY C15478BOCO)
Enumeration Date
2011-05-16
Last Update Date
2011-05-16
Business Address
-- JAMES CHAVEZ
202 SEAGIRT AVE # 1
LAWRENCE, NY 11559-2904
Phone number: 718-412-0300
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Mailing Address
-- JAMES CHAVEZ
202 SEAGIRT AVE # 1
LAWRENCE, NY 11559-2904
Phone number: 718-412-0300
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