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1487028965
JOSE VIVIAN CORRE
BROOKLYN, NY
NPI
1487028965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 033666)
Enumeration Date
2015-11-19
Last Update Date
2015-11-19
Business Address
-- JOSE VIVIAN CORRE
4915 10TH AVE
BROOKLYN, NY 11219-3301
Phone number: 917-213-4049
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Mailing Address
-- JOSE VIVIAN CORRE
7117 11TH AVE
BROOKLYN, NY 11228-1210
Phone number: 917-213-4049
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