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1205074846
SAMUEL CHARLES-PRABHAKAR JOHNSON
BROOKLYN, NY
NPI
1205074846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: NY 62023595)
Enumeration Date
2009-02-03
Last Update Date
2009-02-03
Business Address
-- SAMUEL CHARLES-PRABHAKAR JOHNSON DPT
1026 46TH ST
BROOKLYN, NY 11219-2401
Phone number: 917-682-1875
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Mailing Address
-- SAMUEL CHARLES-PRABHAKAR JOHNSON DPT
1026 46TH ST
BROOKLYN, NY 11219-2401
Phone number: 917-682-1875
Copy
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