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1083987671
ROSELAURE EUGENE
FREEPORT, NY
NPI
1083987671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 66002453)
Enumeration Date
2012-02-14
Last Update Date
2012-02-14
Business Address
-- ROSELAURE EUGENE PTA
21 MARYLAND AVE
FREEPORT, NY 11520-2005
Phone number: 516-242-4954
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Mailing Address
-- ROSELAURE EUGENE PTA
21 MARYLAND AVE
FREEPORT, NY 11520-2005
Phone number: 516-242-4954
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