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1396441010
SEPTEMBER GRACE EVANGELISTA BRONO
BROOKLYN, NY
NPI
1396441010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 01219901)
Enumeration Date
2023-02-03
Last Update Date
2023-02-03
Business Address
SEPTEMBER GRACE EVANGELISTA BRONO PTA,PT,DPT
615 AVENUE C
BROOKLYN, NY 11218-4101
Phone number: 718-633-3300
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Mailing Address
SEPTEMBER GRACE EVANGELISTA BRONO PTA,PT,DPT
21726 138TH RD
JAMAICA, NY 11413-2608
Phone number: 347-572-2447
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