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1780951269
LISA BADORE
PINE PLAINS, NY
NPI
1780951269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 002088-1)
Enumeration Date
2011-11-28
Last Update Date
2011-11-28
Business Address
-- LISA BADORE PTA
50 POPLAR AVE
PINE PLAINS, NY 12567-5531
Phone number: 518-398-5643
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Mailing Address
-- LISA BADORE PTA
50 POPLAR AVE
PINE PLAINS, NY 12567-5531
Phone number: 518-398-5643
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