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1649571340
LAURA PORTUGAL
NEW YORK, NY
NPI
1649571340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 016299-1)
Enumeration Date
2010-11-11
Last Update Date
2010-11-11
Business Address
-- LAURA PORTUGAL
264 CANAL ST STE 6E
NEW YORK, NY 10013-3596
Phone number: 212-925-8069
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Mailing Address
-- LAURA PORTUGAL
264 CANAL ST STE 6E
NEW YORK, NY 10013-3596
Phone number: 212-925-8069
Copy
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