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1093343121
EDGAR GALLEGO
GLENDALE, NY
NPI
1093343121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 024643)
Enumeration Date
2020-04-01
Last Update Date
2020-04-01
Business Address
EDGAR GALLEGO
7139 68TH ST # 2
GLENDALE, NY 11385-7061
Phone number: 917-929-3682
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Mailing Address
EDGAR GALLEGO
7139 68TH ST # 2
GLENDALE, NY 11385-7061
Phone number: 917-929-3682
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