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1922401538
BAKHOM MICHEAL
WESTBURY, NY
NPI
1922401538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 033723)
Enumeration Date
2014-09-28
Last Update Date
2019-12-31
Business Address
BAKHOM MICHEAL
899 BOWLING GREEN DR
WESTBURY, NY 11590-6103
Phone number: 347-656-6998
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Mailing Address
BAKHOM MICHEAL
899 BOWLING GREEN DR
WESTBURY, NY 11590-6103
Phone number: 347-656-6998
Copy
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