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1053657643
JONATHAN SHEA DEGORTER
SYOSSET, NY
NPI
1053657643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: NY X012214-1)
Enumeration Date
2012-12-31
Last Update Date
2022-03-10
Business Address
JONATHAN SHEA DEGORTER D.C.
99 COLD SPRING RD STE 102A
SYOSSET, NY 11791-3140
Phone number: 516-921-1295
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Mailing Address
JONATHAN SHEA DEGORTER D.C.
99 COLD SPRING RD STE 102A
SYOSSET, NY 11791-3140
Phone number: 516-921-1295
Copy
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