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Individual
IAN VEBERT MALVAR DICKMAN
Active
Individual
IAN VEBERT MALVAR DICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022431-1
NY
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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