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1225303241
RENEN BERMUDO SAMALEA
BRONX, NY
NPI
1225303241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 029756)
Enumeration Date
2012-03-09
Last Update Date
2012-03-09
Business Address
MR. RENEN BERMUDO SAMALEA
628 TINTON AVE
BRONX, NY 10455-3218
Phone number: 718-292-5478
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Mailing Address
MR. RENEN BERMUDO SAMALEA
628 TINTON AVE
BRONX, NY 10455-3218
Phone number: 718-292-5478
Copy
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