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Individual
IRENEO LABILLES
Active
Individual
IRENEO LABILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
030195-1
NY
Other
Enumeration date
10/07/2009
Last updated
10/27/2011
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