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1609147370
MARY JANE DE LA CRUZ
ASTORIA, NY
NPI
1609147370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 029281)
Enumeration Date
2012-01-26
Last Update Date
2012-01-26
Business Address
-- MARY JANE DE LA CRUZ PT
3508 28TH AVE
ASTORIA, NY 11103-4619
Phone number: 646-363-8839
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Mailing Address
-- MARY JANE DE LA CRUZ PT
3508 28TH AVE
ASTORIA, NY 11103-4619
Phone number: 646-363-8839
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