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1962655225
KENNETH DAMICOG JAVINES
ASTORIA, NY
NPI
1962655225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 0242641)
Enumeration Date
2008-10-30
Last Update Date
2017-01-05
Business Address
KENNETH DAMICOG JAVINES
3033 32ND ST 2F
ASTORIA, NY 11102-1985
Phone number: 646-288-5840
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Mailing Address
KENNETH DAMICOG JAVINES
3033 32ND ST 2F
ASTORIA, NY 11102-1985
Phone number: 646-288-5840
Copy
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