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1225110653
PHILIP CARL DEBRUIN
ROME, NY
NPI
1225110653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 021618)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
-- PHILIP CARL DEBRUIN MPT
125 BUCKLEY RD DONALD J. MITCHELL VA CLINIC
ROME, NY 13440
Phone number: 315-334-7120
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Mailing Address
-- PHILIP CARL DEBRUIN MPT
125 BUCKLEY RD DONALD J. MITCHELL VA CLINIC
ROME, NY 13440
Phone number: 315-334-7120
Copy
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