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1225304165
CLINTON LEE
WOODSIDE, NY
NPI
1225304165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 033291)
Enumeration Date
2012-03-26
Last Update Date
2013-07-29
Business Address
-- CLINTON LEE
41-52 63RD STREET APT. 3A
WOODSIDE, NY 11377
Phone number: 917-816-6412
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Mailing Address
-- CLINTON LEE
41-52 63RD STREET APT. 3A
WOODSIDE, NY 11377
Phone number:
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