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1861102766
CEDRIC ALFRED LABASTILLA BALDEVISO
BROOKLYN, NY
NPI
1861102766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 04151701)
Enumeration Date
2022-12-01
Last Update Date
2022-12-01
Business Address
Mr. CEDRIC ALFRED LABASTILLA BALDEVISO
3130 BRIGHTON 6TH ST APT 4A
BROOKLYN, NY 11235-6946
Phone number: 347-222-7073
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Mailing Address
Mr. CEDRIC ALFRED LABASTILLA BALDEVISO
3130 BRIGHTON 6TH ST APT 4A
BROOKLYN, NY 11235-6946
Phone number: 347-222-7073
Copy
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