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1215203518
STEPHANIE ALLYSON BULLOCK
RIDGEWOOD, NY
NPI
1215203518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 025989-1)
Enumeration Date
2012-03-30
Last Update Date
2012-03-30
Business Address
-- STEPHANIE ALLYSON BULLOCK
1715 WEIRFIELD ST ROOM 212
RIDGEWOOD, NY 11385-5351
Phone number: 718-628-0664
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Mailing Address
-- STEPHANIE ALLYSON BULLOCK
1715 WEIRFIELD ST ROOM 212
RIDGEWOOD, NY 11385-5351
Phone number: 718-628-0664
Copy
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