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1962476135
LARAE KLARENBEEK MITCHELL
NEW YORK, NY
NPI
1962476135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 027553)
Enumeration Date
2006-02-15
Last Update Date
2007-07-08
Business Address
-- LARAE KLARENBEEK MITCHELL PT
622 W 168TH ST
NEW YORK, NY 10032
Phone number: 212-305-7680
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Mailing Address
-- LARAE KLARENBEEK MITCHELL PT
600 W 122ND ST #216
NEW YORK, NY 10027
Phone number: 303-877-6809
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