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1851831317
MARK RENIEDO
ASTORIA, NY
NPI
1851831317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 040708)
Enumeration Date
2017-03-03
Last Update Date
2024-07-09
Business Address
MARK RENIEDO
2322 30TH AVE
ASTORIA, NY 11102-3255
Phone number: 718-545-0700
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Mailing Address
MARK RENIEDO
7345 WOODLAND DR
INDIANAPOLIS, IN 46278-1737
Phone number: 317-286-2885
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