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1396324588
ELLINE NICOLE MONTEMAYOR VENTURA
ELMHURST, NY
NPI
1396324588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 045202-01)
Enumeration Date
2021-04-05
Last Update Date
2021-04-05
Business Address
MS. ELLINE NICOLE MONTEMAYOR VENTURA PT
8304 BROADWAY
ELMHURST, NY 11373-5724
Phone number: 917-415-8036
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Mailing Address
MS. ELLINE NICOLE MONTEMAYOR VENTURA PT
4210 82ND ST APT 2E
ELMHURST, NY 11373-3551
Phone number: 917-415-8036
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