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1558695197
SIMON CHAN
FLUSHING, NY
NPI
1558695197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 012608-1)
Enumeration Date
2009-09-30
Last Update Date
2009-09-30
Business Address
-- SIMON CHAN p.t.
7316 175TH ST
FLUSHING, NY 11366-1532
Phone number: 718-888-6920
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Mailing Address
-- SIMON CHAN p.t.
7316 175TH ST
FLUSHING, NY 11366-1532
Phone number:
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