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1083928097
MAXIMIANO RALLON
STATEN ISLAND, NY
NPI
1083928097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 66003951)
Enumeration Date
2010-08-02
Last Update Date
2010-08-02
Business Address
Mr. MAXIMIANO RALLON PTA
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9466
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Mailing Address
Mr. MAXIMIANO RALLON PTA
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9466
Copy
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