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1720140692
JAYCIE BUENO SENASE
BAY SHORE, NY
NPI
1720140692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 027532-1)
Enumeration Date
2006-12-15
Last Update Date
2011-04-30
Business Address
Mr. JAYCIE BUENO SENASE P.T.
156 4TH AVE
BAY SHORE, NY 11706-7900
Phone number: 631-647-7194
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Mailing Address
Mr. JAYCIE BUENO SENASE P.T.
156 4TH AVE
BAY SHORE, NY 11706-7900
Phone number: 631-647-7194
Copy
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