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1689829467
DORA I SOURELOS
FRESH MEADOWS, NY
NPI
1689829467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 013371)
Enumeration Date
2008-11-20
Last Update Date
2008-11-20
Business Address
-- DORA I SOURELOS MAPT
5839 198TH ST
FRESH MEADOWS, NY 11365-1721
Phone number: 917-406-9502
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Mailing Address
-- DORA I SOURELOS MAPT
5839 198TH ST
FRESH MEADOWS, NY 11365-1721
Phone number: 917-406-9502
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