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1598426470
KOLAWOLE BAMGBELU
GREAT NECK, NY
NPI
1598426470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 048199)
Enumeration Date
2022-01-04
Last Update Date
2022-01-04
Business Address
KOLAWOLE BAMGBELU
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021-4802
Phone number: 516-829-0030
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Mailing Address
KOLAWOLE BAMGBELU
475 NORTHERN BLVD STE 27
GREAT NECK, NY 11021-4802
Phone number: 516-829-0030
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