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Individual
NESTOR A LAYSA
Active
Individual
NESTOR A LAYSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
05008982A
IN
225100000X
Physical Therapist
Primary
030150
NY
Other
Enumeration date
10/16/2007
Last updated
02/25/2010
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