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1588176648
GIGA GAMBASHIDZE
BROOKLYN, NY
NPI
1588176648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 010829-1)
Enumeration Date
2017-10-30
Last Update Date
2017-10-30
Business Address
GIGA GAMBASHIDZE
1556 W 8TH ST APT 2
BROOKLYN, NY 11204
Phone number: 646-379-0072
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Mailing Address
GIGA GAMBASHIDZE
1556 W 8TH ST APT 2
BROOKLYN, NY 11204-6503
Phone number: 646-379-0072
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