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1700588399
ADRIANE CLARK SALAZAR BALLESTEROS
ELMHURST, NY
NPI
1700588399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 012564)
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
ADRIANE CLARK SALAZAR BALLESTEROS PTA
5741 VAN HORN ST FL 3
ELMHURST, NY 11373-5090
Phone number: 347-839-9275
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Mailing Address
ADRIANE CLARK SALAZAR BALLESTEROS PTA
5741 VAN HORN ST FL 3
ELMHURST, NY 11373-5090
Phone number: 347-839-9275
Copy
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