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Individual
NINO OBEDO TAGA-OC
Active
Individual
NINO OBEDO TAGA-OC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30549
NY
Other
Enumeration date
09/30/2010
Last updated
09/17/2014
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