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1376148767
HALLEY MARK BEJO BACTOL
NEW YORK, NY
NPI
1376148767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 046532)
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
HALLEY MARK BEJO BACTOL
229 E 21ST ST
NEW YORK, NY 10010-6433
Phone number: 212-473-3703
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Mailing Address
HALLEY MARK BEJO BACTOL
6117 183RD ST FL 2ND
FRESH MEADOWS, NY 11365-2114
Phone number: 458-225-0179
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