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1922209154
DOREEN M WISE
BRONX, NY
NPI
1922209154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 006581)
Enumeration Date
2007-05-28
Last Update Date
2007-07-08
Business Address
-- DOREEN M WISE
3155 GRACE AVE
BRONX, NY 10469-3134
Phone number: 718-379-8100
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Mailing Address
-- DOREEN M WISE
1368 WEBSTER AVE APT. 7K
BRONX, NY 10456-1810
Phone number:
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