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1699255406
MICHAEL ANTONIS KOULLIAS
BROOKLYN, NY
NPI
1699255406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Z00000X Orthotist
(Licence: NY 4175)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
MR. MICHAEL ANTONIS KOULLIAS
1070 66TH ST
BROOKLYN, NY 11219-5939
Phone number: 646-642-6269
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Mailing Address
MR. MICHAEL ANTONIS KOULLIAS
1070 66TH ST
BROOKLYN, NY 11219-5939
Phone number: 646-642-6269
Copy
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