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1669819553
CHARLTON MARVIN MAYO
BROOKLYN, NY
NPI
1669819553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 008894)
Enumeration Date
2013-05-31
Last Update Date
2013-05-31
Business Address
Mr. CHARLTON MARVIN MAYO PTA
8012 3RD AVE
BROOKLYN, NY 11209-3802
Phone number: 718-491-5454
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Mailing Address
Mr. CHARLTON MARVIN MAYO PTA
8716 3RD AVENUE APARTMENT 5
BROOKLYN, NY 11209
Phone number: 941-276-2173
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