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1386192904
JEREMY ANTHONY LAVERDURE
ASTORIA, NY
NPI
1386192904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 040472)
Enumeration Date
2016-09-12
Last Update Date
2016-11-21
Business Address
-- JEREMY ANTHONY LAVERDURE D.P.T.
3244 36TH ST APT. 3
ASTORIA, NY 11106-1170
Phone number: 646-339-3052
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Mailing Address
-- JEREMY ANTHONY LAVERDURE D.P.T.
95 UNIVERSITY PL FL 8
NEW YORK, NY 10003-4515
Phone number: 212-604-1316
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