LEAN MARIO PAULO VEGA MIRANDA

NEW YORK, NY
NPI1194214759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01785900)
Enumeration Date2018-05-08
Last Update Date2018-05-08
Business Address
LEAN MARIO PAULO VEGA MIRANDA PT
575 8TH AVE FL 6
NEW YORK, NY 10018-3158
Phone number: 212-221-1544
Mailing Address
LEAN MARIO PAULO VEGA MIRANDA PT
15 GLENWOOD AVE
JERSEY CITY, NJ 07306-4601
Phone number: 551-216-9641
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