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Individual
MR. MODYMARK RAON PALAGANAS
Active
Individual
MR. MODYMARK RAON PALAGANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
033714-1
NY
225100000X
Physical Therapist
Primary
CP019061T
UT
225700000X
Massage Therapist
MT108859
TX
Other
Enumeration date
06/24/2011
Last updated
07/20/2023
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