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1053769729
LOLITA DIVILOVA
BROOKLYN, NY
NPI
1053769729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 019708-1)
Enumeration Date
2016-06-02
Last Update Date
2016-06-02
Business Address
-- LOLITA DIVILOVA
1545 ATLANTIC AVE
BROOKLYN, NY 11213-1122
Phone number: 718-613-7114
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Mailing Address
-- LOLITA DIVILOVA
1545 ATLANTIC AVE
BROOKLYN, NY 11213-1122
Phone number:
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