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1467632232
IAN MARI VIRAY MICABALO
NEW YORK, NY
NPI
1467632232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 029559)
Enumeration Date
2007-11-09
Last Update Date
2009-10-27
Business Address
-- IAN MARI VIRAY MICABALO PT
37 W 26TH ST RM 302 NY,NY
NEW YORK, NY 10010-1047
Phone number: 718-285-0588
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Mailing Address
-- IAN MARI VIRAY MICABALO PT
2190 MADISON AVE APT 12C
NEW YORK, NY 10037-2236
Phone number: 646-479-2201
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