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1174410013
CLYDE LACE DE GUZMAN GOROBAT
WOODSIDE, NY
NPI
1174410013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 054317)
Enumeration Date
2025-06-23
Last Update Date
2025-12-04
Business Address
CLYDE LACE DE GUZMAN GOROBAT
4312 56TH STREET, APT F1
WOODSIDE, NY 11377
Phone number: 347-829-3890
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Mailing Address
CLYDE LACE DE GUZMAN GOROBAT
4312 56TH STREET, APT 1F
WOODSIDE, NY 11377
Phone number: 347-829-3890
Copy
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