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1780222737
MYRA BASSOUL
BROOKLYN, NY
NPI
1780222737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 024321)
Enumeration Date
2019-12-19
Last Update Date
2019-12-19
Business Address
MYRA BASSOUL
1640 E 12TH ST
BROOKLYN, NY 11229-1012
Phone number: 718-864-2121
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Mailing Address
MYRA BASSOUL
1640 E 12TH ST
BROOKLYN, NY 11229-1012
Phone number: 718-864-2121
Copy
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