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1972792760
JEAN LAINE
BROOKLYN, NY
NPI
1972792760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NR0400X Chiropractor, Rehabilitation
(Licence: NY x011370-1)
Enumeration Date
2007-10-17
Last Update Date
2007-10-17
Business Address
-- JEAN LAINE
649 E 81ST ST
BROOKLYN, NY 11236-3303
Phone number: 917-295-5048
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Mailing Address
-- JEAN LAINE
649 E 81ST ST
BROOKLYN, NY 11236-3303
Phone number: 917-295-5048
Copy
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