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1245975663
GLENN PATRICK KATIGBAC INCIONG
NEW YORK, NY
NPI
1245975663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 011961-01)
Enumeration Date
2022-04-29
Last Update Date
2022-04-29
Business Address
GLENN PATRICK KATIGBAC INCIONG
1345 AVENUE OF THE AMERICAS
NEW YORK, NY 10105-0302
Phone number: 212-981-1977
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Mailing Address
GLENN PATRICK KATIGBAC INCIONG
5124 VAN LOON ST
ELMHURST, NY 11373-4255
Phone number: 929-289-3995
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