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1699087668
MARICEL LACTAOEN BAETIONG
BROOKLYN, NY
NPI
1699087668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: NY 023274-01)
Enumeration Date
2010-07-07
Last Update Date
2010-07-07
Business Address
Mrs. MARICEL LACTAOEN BAETIONG PT
1651 CONEY ISLAND AVE.
BROOKLYN, NY 12230
Phone number: 718-998-1415
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Mailing Address
Mrs. MARICEL LACTAOEN BAETIONG PT
74 EMPIRE BLVD
ISLAND PARK, NY 11558-1228
Phone number: 646-220-5686
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