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1649680786
ARLENE BAUTISTA VICENCIO
FLUSHING, NY
NPI
1649680786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 022597)
Enumeration Date
2014-04-29
Last Update Date
2014-04-29
Business Address
-- ARLENE BAUTISTA VICENCIO PT
13329 41ST RD #1A
FLUSHING, NY 11355-3670
Phone number: 718-939-4166
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Mailing Address
-- ARLENE BAUTISTA VICENCIO PT
PO BOX 520112
FLUSHING, NY 11352-0112
Phone number: 718-886-8180
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