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1649411711
IAN VEBERT MALVAR DICKMAN
BROOKLYN, NY
NPI
1649411711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 022431-1)
Enumeration Date
2009-03-18
Last Update Date
2009-03-18
Business Address
-- IAN VEBERT MALVAR DICKMAN
70 PROSPECT PARK SW APT C5
BROOKLYN, NY 11215-5981
Phone number: 917-862-1943
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Mailing Address
-- IAN VEBERT MALVAR DICKMAN
70 PROSPECT PARK SW APT C5
BROOKLYN, NY 11215-5981
Phone number:
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