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1366620569
JEROME A. SAN JOSE
ELMHURST, NY
NPI
1366620569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 027253-1)
Enumeration Date
2008-02-11
Last Update Date
2014-11-26
Business Address
Mr. JEROME A. SAN JOSE
4150 78TH ST APT. 514
ELMHURST, NY 11373-1950
Phone number: 347-605-8285
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Mailing Address
Mr. JEROME A. SAN JOSE
4150 78TH ST APT. 514
ELMHURST, NY 11373-1950
Phone number: 347-605-8285
Copy
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