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1972706018
JESUS JOSEF TIAMZON CABITAC
MASSAPEQUA, NY
NPI
1972706018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 023341)
Enumeration Date
2007-06-06
Last Update Date
2024-02-23
Business Address
Mr. JESUS JOSEF TIAMZON CABITAC PT
143 MASSACHUSETTS AVE
MASSAPEQUA, NY 11758-4111
Phone number: 516-837-0882
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Mailing Address
Mr. JESUS JOSEF TIAMZON CABITAC PT
143 MASSACHUSETTS AVE
MASSAPEQUA, NY 11758-4111
Phone number: 516-837-0882
Copy
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