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1942509419
TOUSSAINT LAKE
BROOKLYN, NY
NPI
1942509419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 0161651)
Enumeration Date
2011-03-23
Last Update Date
2011-03-23
Business Address
-- TOUSSAINT LAKE
309 VAN BUREN ST
BROOKLYN, NY 11221-1997
Phone number: 718-573-3934
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Mailing Address
-- TOUSSAINT LAKE
309 VAN BUREN ST
BROOKLYN, NY 11221-1997
Phone number:
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