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1902206964
LAWRENCE TATEM
JAMAICA, NY
NPI
1902206964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 016439)
Enumeration Date
2014-08-27
Last Update Date
2014-08-27
Business Address
Mr. LAWRENCE TATEM PT
11024 SUTPHIN BLVD
JAMAICA, NY 11435-5716
Phone number: 718-739-3206
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Mailing Address
Mr. LAWRENCE TATEM PT
11024 SUTPHIN BLVD
JAMAICA, NY 11435-5716
Phone number: 718-739-3206
Copy
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