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Individual
MR. LEMUEL OBACH TAGAAN
Active
Individual
MR. LEMUEL OBACH TAGAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
036945
NY
225200000X
Physical Therapy Assistant
008764
NY
Other
Enumeration date
08/31/2013
Last updated
04/17/2014
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