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1417172271
FONDRE ANN GOULBOURNE
NEW YORK, NY
NPI
1417172271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 024139-1)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
Ms. FONDRE ANN GOULBOURNE DPT, PT
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-7680
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Mailing Address
Ms. FONDRE ANN GOULBOURNE DPT, PT
300 W 135TH ST 5P
NEW YORK, NY 10030-2731
Phone number: 212-305-7680
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