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1508152984
STACEYANN MONIQUE CLAXTON
FREEPORT, NY
NPI
1508152984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 030905-1)
Enumeration Date
2011-06-23
Last Update Date
2011-06-23
Business Address
MS. STACEYANN MONIQUE CLAXTON DPT
110 BROOKLYN AVE APT 4U
FREEPORT, NY 11520-2991
Phone number: 516-984-3231
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Mailing Address
MS. STACEYANN MONIQUE CLAXTON DPT
110 BROOKLYN AVE APT 4U
FREEPORT, NY 11520-2991
Phone number: 516-984-3231
Copy
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