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1780062539
MITCHEL DE JESUS
HEWLETT, NY
NPI
1780062539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 035355)
Enumeration Date
2015-05-13
Last Update Date
2015-05-13
Business Address
Mr. MITCHEL DE JESUS
319 DAUB AVE
HEWLETT, NY 11557-1140
Phone number: 516-668-3903
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Mailing Address
Mr. MITCHEL DE JESUS
319 DAUB AVE
HEWLETT, NY 11557-1140
Phone number: 516-668-3903
Copy
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