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1366201279
AGNES KEZIA MONTEALTO MALLARI
BROOKLYN, NY
NPI
1366201279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 050035)
Enumeration Date
2024-03-14
Last Update Date
2024-03-28
Business Address
AGNES KEZIA MONTEALTO MALLARI PT
2579 OCEAN AVE
BROOKLYN, NY 11229-4552
Phone number: 929-736-7517
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Mailing Address
AGNES KEZIA MONTEALTO MALLARI PT
E 22ND 2174
BROOKLYN, NY 11229
Phone number: 929-736-7517
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