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1538124011
MARY MEWBORN-BROADUS
JAMAICA, NY
NPI
1538124011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
226300000X Kinesiotherapist
Enumeration Date
2006-04-19
Last Update Date
2007-07-08
Business Address
MRS. MARY MEWBORN-BROADUS
17900 LINDEN BLVD
JAMAICA, NY 11425-0001
Phone number: 718-526-1000
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Mailing Address
MRS. MARY MEWBORN-BROADUS
11456 212TH ST
CAMBRIA HEIGHTS, NY 11411-1018
Phone number: 718-526-1000
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