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1487366860
EDERLY HERIBERTO JIMENEZ DOMINGUEZ
BROOKLYN, NY
NPI
1487366860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 010498)
Enumeration Date
2022-12-19
Last Update Date
2022-12-19
Business Address
EDERLY HERIBERTO JIMENEZ DOMINGUEZ PTA
49 MONTROSE AVE
BROOKLYN, NY 11206-2580
Phone number: 718-473-3808
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Mailing Address
EDERLY HERIBERTO JIMENEZ DOMINGUEZ PTA
49 MONTROSE AVE
BROOKLYN, NY 11206-2580
Phone number: 718-473-3808
Copy
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