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1255977856
CHRISTIAN SHAYNE LARGO LACSON
JAMAICA, NY
NPI
1255977856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 041602)
Enumeration Date
2019-11-19
Last Update Date
2023-11-27
Business Address
CHRISTIAN SHAYNE LARGO LACSON
9218 165TH ST
JAMAICA, NY 11433-1104
Phone number: 718-725-0044
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Mailing Address
CHRISTIAN SHAYNE LARGO LACSON
8302 CORNISH AVE APT 4K
ELMHURST, NY 11373-3710
Phone number: 662-230-0895
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