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1235829144
EDWIN GITUAYAN LUCENO
BRONX, NY
NPI
1235829144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 013202-02)
Enumeration Date
2023-05-12
Last Update Date
2023-05-12
Business Address
EDWIN GITUAYAN LUCENO PTA
2444 BEAUMONT AVE
BRONX, NY 10458-6548
Phone number: 347-679-7078
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Mailing Address
EDWIN GITUAYAN LUCENO PTA
2444 BEAUMONT AVE
BRONX, NY 10458-6548
Phone number: 347-679-7078
Copy
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