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1821363763
GLORIA PROVITOLA
NEW YORK, NY
NPI
1821363763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: NY 004415)
Enumeration Date
2012-03-10
Last Update Date
2012-03-10
Business Address
Ms. GLORIA PROVITOLA L. Ac.
448 W 57TH ST HEALTH ON 57--GARDEN LEVEL
NEW YORK, NY 10019-3055
Phone number: 917-502-4566
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Mailing Address
Ms. GLORIA PROVITOLA L. Ac.
311 W 95TH ST APT 2B
NEW YORK, NY 10025-6103
Phone number: 917-502-4566
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