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1174708150
BRYAN ILA QUEDDENG
BRONX, NY
NPI
1174708150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 029825)
Enumeration Date
2008-01-08
Last Update Date
2009-05-05
Business Address
-- BRYAN ILA QUEDDENG PT
741 E 233RD ST
BRONX, NY 10466-3201
Phone number: 718-405-0205
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Mailing Address
-- BRYAN ILA QUEDDENG PT
174 GRAND ST
WHITE PLAINS, NY 10601-4803
Phone number: 914-328-8077
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