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1194946681
TIMOTHY JOHN MULLEN
CHATHAM, NY
NPI
1194946681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: NY 013056-1)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Mr. TIMOTHY JOHN MULLEN LMT
25 KINDERHOOK STREET
CHATHAM, NY 12037
Phone number: 518-392-2160
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Mailing Address
Mr. TIMOTHY JOHN MULLEN LMT
61 DUNHAM HOLLOW ROAD
EAST NASSAU, NY 12062
Phone number: 518-766-6457
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