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1184783656
DEBRA MICHELE PERRON
COMMACK, NY
NPI
1184783656
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Former Name
DEBRA MICHELE CORNETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 001694)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
Mrs. DEBRA MICHELE PERRON PTA
159 INDIAN HEAD RD
COMMACK, NY 11725-2205
Phone number: 631-543-4500
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Mailing Address
Mrs. DEBRA MICHELE PERRON PTA
27 BARBARA RD
LAKE RONKONKOMA, NY 11779-4301
Phone number: 631-981-7338
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