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1639944523
PAUL INNOCENZI
ASTORIA, OR
NPI
1639944523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2023-11-20
Last Update Date
2023-11-20
Business Address
PAUL INNOCENZI PTA
646 16TH ST
ASTORIA, OR 97103-3709
Phone number: 503-325-0313
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Mailing Address
PAUL INNOCENZI PTA
7820 SUMMERSET DR
WALTON HILLS, OH 44146-4964
Phone number: 440-821-1270
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