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1578233508
SAMUEL SOUTO
BAYSIDE, NY
NPI
1578233508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 018012)
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
SAMUEL SOUTO DPT
21273 26TH AVE
BAYSIDE, NY 11360-1943
Phone number: 718-747-2019
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Mailing Address
SAMUEL SOUTO DPT
21273 26TH AVE
BAYSIDE, NY 11360-1943
Phone number: 718-747-2019
Copy
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