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1386781573
MARK ANTHONY BAUTISTA GUTIERREZ
NEW HYDE PARK, NY
NPI
1386781573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 0240771)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
MARK ANTHONY BAUTISTA GUTIERREZ PT
625 STEWART AVE
NEW HYDE PARK, NY 11040-5430
Phone number: 516-270-3110
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Mailing Address
MARK ANTHONY BAUTISTA GUTIERREZ PT
625 STEWART AVE
NEW HYDE PARK, NY 11040-5430
Phone number: 516-270-3110
Copy
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