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1497092662
ANGELA LOPEZ SAN JOSE
BROOKLYN, NY
NPI
1497092662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 32276)
Enumeration Date
2013-01-08
Last Update Date
2013-01-08
Business Address
-- ANGELA LOPEZ SAN JOSE PT
1765 BROADWAY
BROOKLYN, NY 11207-1611
Phone number: 347-605-8261
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Mailing Address
-- ANGELA LOPEZ SAN JOSE PT
4150 78TH ST APT 514
ELMHURST, NY 11373-1919
Phone number: 347-605-8261
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